术中经食道超声心动图检查在一例肾尤文氏肉瘤下腔静脉肿瘤血栓清除术中的作用

Mohanish Badge, Minati Choudhury, P. Kapoor
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引用次数: 0

摘要

尤文氏肉瘤属于原始神经外胚层肿瘤。肾尤文氏肉瘤是一种极其罕见的肿瘤,可发展到下腔静脉(IVC)或右心房(RA)。IVC/RA扩展的肾肿瘤需要切除肿瘤,包括IVC中的肿瘤血栓,视肿瘤血栓范围而定,可使用或不使用心肺旁路。术中经食道超声心动图可提供肿瘤血栓的最新分期、特征和流动性,指导夹闭 IVC 以切除肿瘤,帮助排除血流动力学不稳定的故障,并在术后监测肿瘤切除的完整性。经食道超声心动图检查是任何一例 IVC 肿瘤血栓切除术术中管理不可或缺的一部分。
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Role of Intra-operative Transesophageal Echocardiographic Examination in Inferior Vena Cava Tumor Thrombus Removal in a Case of Renal Ewing’s Sarcoma
Ewing’s sarcoma belongs to primitive neuroectodermal tumors. Renal Ewing’s sarcoma is an extremely rare tumor that can progress to the inferior vena cava (IVC) or right atrium (RA). Renal tumors with IVC/RA extension entail removal of the tumor, including tumor thrombus in IVC with or without the use of cardiopulmonary bypass, depending on the tumor thrombus extent. Intra-operative transesophageal echocardiography provides the latest staging of tumor thrombus, its characteristics, and mobility, guides IVC clamping for tumor removal, aids in troubleshooting hemodynamic instability, and monitors completeness of tumor removal post-procedure. Transesophageal echocardiographic examination forms an indispensable part of intra-operative management in any case of IVC tumor thrombus removal.
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