Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Xinghui Xiong^1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China

Corresponding Author: Xinghui Xiong
Address: Department of Anesthesiology, West China Hospital, Sichuan University No. 37 Guoxue Xiang, Wuhou District Chengdu, Sichuan, China.
Received date: 09 June 2023; Accepted date: 20 June 2023; Published date: 27 June 2023

Citation: Xiong X. Anesthesia Management of a Patient with Papillary Thyroid Carcinoma Recurrence and Metastasis to the Right Atrium and Superior Vena Cava: A Case Report. Asp Biomed Clin Case Rep. 2023 Jun 27;6(2):156-60.

Copyright © 2023 Xiong 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: Papillary Thyroid Carcinoma, Superior Vena Cava Syndrome, Extracorporeal Jugular-Femoral Vein Bypass, Tumor Thrombus, Anesthesia

Abbreviations: PTC: Papillary Thyroid Carcinoma; SVC: Superior Vena Cava; RA: Right Atrium; EJVB: Extracorporeal Jugular-Femoral Vein Bypass; CT: Computed Tomography; CPB: Cardiopulmonary Bypass; IJV: Internal Jugular Vein; PET-CT: Positron Emission Tomography-Computed Tomography; MRI: Magnetic Resonance Imaging; ECG: Electrocardiogram; UCG: Ultrasonic Cardiogram; ABG: Arterial Blood Gas; NIRS: Near-Infrared Spectroscopy; rScO2: Regional Cerebral Oxygen Saturation; ACT: Activated Clotting Time; ABP: Arterial Blood Pressure

Abstract

Postoperative recurrence and metastasis of papillary thyroid carcinoma (PTC) to the superior vena cava (SVC) and right atrium (RA) are rare. The application of Extracorporeal Jugular-femoral Vein Bypass and anesthesia management for SVC reconstruction in this rare situation holds instructive significance. In this case, we describe the successful anesthesia management of a patient with multiple tumor thrombi due to postoperative recurrence of PTC. The diagnosis was based on computed tomography of the chest and blood vessels, revealing three-dimensional SVC, postoperative recurrence of PTC, and multiple tumor thrombi in the internal jugular vein (IJV), subclavian vein, brachiocephalic vein, SVC, and RA. An experienced multidisciplinary team was established, and a detailed plan was made for respiration and circulation support, with cardiopulmonary bypass on standby.