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Anaesthetic management of a patient with the intracardiac extension of Wilms’ tumour
Author(s) -
Shiratori Tohru,
Fujisawa Tatsurou,
Ichino Takashi,
Mitono Yuusuke,
Inokuti Mari,
Ohata Jun
Publication year - 2004
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2003.01236.x
Subject(s) - medicine , intracardiac injection , patent foramen ovale , wilms' tumor , cardiopulmonary bypass , inferior vena cava , surgery , paradoxical embolism , wilms tumour , occlusion , radiology , anesthesia , percutaneous
Summary Wilms’ tumour (nephroblastoma) is known to invade the inferior vena cava and extend to the intracardiac chambers. We describe the treatment and surgical removal of the intracardiac extension of a Wilms’ tumour using cardiopulmonary bypass in a 4‐year‐old girl. Techniques to avoid paradoxical embolism in the presence of a patent foramen ovale and to deal with excessive hepatic venous blood flow using the Pringle manoevre (hepatic inflour occlusion) are described. Good communication between anaesthesiologists, surgeons and perfusionists was indispensable. The anaesthesiologist is an important member of the team during performance of a complicated procedure.