2014
DOI: 10.1186/1749-8090-9-56
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Anesthetic management of the removal of a giant metastatic cardiac liposarcoma occupying right ventricle and pulmonary artery

Abstract: A 60 years old chinese male scheduled for a removal of an intracardiac mass occupying majority of right ventricular space, right ventricular outflow tract and pulmonary artery. The giant cardiac mass was later diagnosed pathologically as metastatic liposarcoma. The patient had a history of surgical removal of myxoid liposarcoma from his left thigh many years ago. It is extremely rare for liposarcoma to metastatize to right ventricle and pulmonary artery. The anesthetic management of the surgical procedure to r… Show more

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Cited by 8 publications
(4 citation statements)
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“…Previous case reports involving intracardiac masses obstructing right-sided outflow document this hemodynamic instability after induction that then required urgent initiation of cardiopulmonary bypass (CPB). 3,4 The use of awake CPB is rare and reserved for patients at the highest risk for airway compromise or hemodynamic collapse on induction of anesthesia. [5][6][7][8] While this approach successfully avoids induction complications, the cannulation process causes anxiety and pain that may lead to unwanted hemodynamic changes in an already hemodynamically compromised patient.…”
Section: Initiation Of Cardiopulmonary Bypass In a High-risk Patient mentioning
confidence: 99%
“…Previous case reports involving intracardiac masses obstructing right-sided outflow document this hemodynamic instability after induction that then required urgent initiation of cardiopulmonary bypass (CPB). 3,4 The use of awake CPB is rare and reserved for patients at the highest risk for airway compromise or hemodynamic collapse on induction of anesthesia. [5][6][7][8] While this approach successfully avoids induction complications, the cannulation process causes anxiety and pain that may lead to unwanted hemodynamic changes in an already hemodynamically compromised patient.…”
Section: Initiation Of Cardiopulmonary Bypass In a High-risk Patient mentioning
confidence: 99%
“…Rare sites of metastatic disease spread include the skin, soft tissues, bone, liver, heart and brain [12,[16][17][18][19][20][21][22][23].…”
Section: Discussionmentioning
confidence: 99%
“…Although liposarcoma often metastasizes to different organs, cardiac metastasis, including to the pericardium, is rare. Thirty-five cases of metastatic cardiac liposarcoma have been reported in the literature [ 1 6 ], with only nine cases of pericardial metastases [ 2 – 4 ]. According to the WHO classification, liposarcoma is divided into the following categories: well-differentiated, differentiated, myxoid, round-cell, pleomorphic, mixed-type liposarcoma, and liposarcoma, not otherwise specified.…”
Section: Case Presentationmentioning
confidence: 99%