Anesthetic Management of Successful Resection of Hepatocellular Carcinoma with Tumor Thrombus Extending into Right Atrium under Cardiopulmonary Bypass and Deep Hypothermic Circulatory Arrest without Median Sternotomy
Abstract:A 66-year-old man presented with a hepatocellular carcinoma with a tumor thrombus extending into the right atrium and was scheduled for en bloc hepatectomy and resection of the thrombus under cardiopulmonary bypass (CPB) . The patient had previously undergone a coronary artery bypass graft, and we were concerned that there was a risk of accidental dissection of mediastinal adhesions or the bypass graft itself. We therefore decided to operate under cardiopulmonary bypass and deep hypothermic circulatory arrest … Show more
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