Intraoperative Cardiogenic Shock Caused by Intracardiac Tumor Thrombi Obstruction

Intraoperative Cardiogenic Shock Caused by Intracardiac Tumor Thrombi Obstruction

Yu KP¹, Lin YC^1,2,3*, Chang JY^1,2,3

¹Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan

²Mackay Medicine, Nursing and Management College, Taipei, Taiwan

³Mackay Medical College, Taipei, Taiwan

Corresponding Author: Ying-Chun Lin, MD

Address: Department of Anesthesiology, Mackay Memorial Hospital , No. 92, Sec. 2, Zhongshan N. Rd., Taipei City 10449, Taiwan; Tel: +886-2-2543-3535 #3009; Fax: +886-2-2543-3642; E-mail: elegant.beaver@gmail.com

Received date: 09 December 2019; Accepted date: 17 December 2019; Published date: 2 January 2020

Citation: Yu KP, Lin YC, Chang JY. Intraoperative Cardiogenic Shock Caused by Intracardiac Tumor Thrombi Obstruction. Asp Biomed Clin Case Rep. 2020 Jan 2;3(1):15-17.

Copyright © 2020 Yu KP, Lin YC, Chang JY. 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: Cardiogenic Shock; Tumor Thrombus; Inferior Vena Cava; Renal Cell Carcinoma

Image Article

A 60-year-old man presented with left flank pain, a palpable abdominal mass, and hematuria for months. Computed tomography revealed a large tumor in the left kidney (approximately 17.7 cm in diameter) with evidence of left adrenal, left renal vein, and inferior vena cava (IVC) invasion. He underwent left nephrectomy with IVC thrombectomy. Transesophageal echocardiography (TEE) was used during the whole procedure and the tumor was found in the IVC (Fig-1) before resection.