Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Hong Tu¹, Xiao Wang^1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China

Corresponding Author: Xiao Wang
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Guoxuexiang 37^th, Chengdu 610041, Sichuan, China.
Received date: 28 October 2023; Accepted date: 06 November 2023; Published date: 14 November 2023

Citation: Tu H, Wang X. A Patient Undergoing Laparoscopic Radical Prostatectomy and Atrial Defect Closure Simultaneously: A Case Report. Asp Biomed Clin Case Rep. 2023 Nov 14;7(1):14-19.

Copyright © 2023 Tu H, Wang X. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Laparoscopic Radical Prostatectomy, Atrial Septal Defect Closure, Perioperative Management, Case Report

Abbreviations: PSA: Prostate-Specific Antigen; MRI: Magnetic Resonance Imaging; ASD: Atrial Septal Defect; ECG: Electrocardiogram; CT: Computed Tomography; PIRADS: Prostate Imaging Reporting And Data System; DWI: Diffusion-Weighted Imaging; ADC: Apparent Diffusion Coefficient; TTE: Transthoracic Echocardiography; SVC: Superior Vena Cava; IVC: Inferior Vena Cava; MDT: Multi-Disciplinary Team; TEE: Ransesophageal Echocardiography; ICU: Intensive Care Unit; CO₂: Carbon Dioxide; SVR: Systemic Vascular Resistance; MAP: Mean Arterial Pressure; PVR: Pulmonary Vascular Resistance; PCO₂: Partial Pressure of Carbon Dioxide; EtCO₂: End-Tidal Carbon Dioxide Pressure

Abstract

Background: Prostatectomy offers the greatest potential for a definitive cure for localized prostate cancer. Closure devices for secundum atrial septal defects have a good safety and efficacy profile. Simultaneous operation of the two types of surgery has not been reported to date.
Case Presentation: A 65-year-old man was admitted to receive laparoscopic radical prostatectomy for prostate cancer under general anesthesia. The chest CT imaging unexpectedly showed that the heart and the pulmonary artery were obviously enlarged. Subsequently, a secundum atrial septal defect (ASD) with left-to-right shunt measuring 27*23mm was observed on transthoracic echocardiography (TTE). After a multi-disciplinary team (MDT) consisting of departments of urology, cardiac surgery, and anesthesiology was assembled to discuss the surgical procedure, an atrial septal defect closure device was scheduled to be implanted, followed by laparoscopic radical prostatectomy. The patient underwent both surgeries and was successfully discharged from the hospital.
Conclusions: Adequate perioperative assessment and management are crucial for patients. We should pay more attention to patients with cardiac disease undergoing both cardiac and non-cardiac surgery.