Document Detail

Anaesthetic management of a patient with the intracardiac extension of Wilms' tumour.
MedLine Citation:
PMID:  15078385     Owner:  NLM     Status:  MEDLINE    
Summary Wilms' tumour (nephroblastoma) is known to invade the inferior vena cava and extend to the intracardiac chambers. We describe the treatment and surgical removal of the intracardiac extension of a Wilms' tumour using cardiopulmonary bypass in a 4-year-old girl. Techniques to avoid paradoxical embolism in the presence of a patent foramen ovale and to deal with excessive hepatic venous blood flow using the Pringle manoevre (hepatic inflour occlusion) are described. Good communication between anaesthesiologists, surgeons and perfusionists was indispensable. The anaesthesiologist is an important member of the team during performance of a complicated procedure.
Tohru Shiratori; Tatsurou Fujisawa; Takashi Ichino; Yuusuke Mitono; Mari Inokuti; Jun Ohata
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  14     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-13     Completed Date:  2004-07-22     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  361-4     Citation Subset:  IM    
Department of Anaesthesiology, Nagano Children's Hospital, 3100 Toyoshina, Toyoshina, Minamiazumi-gun, Nagano, Japan.
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MeSH Terms
Anesthesia, General / methods*
Anesthetics, Inhalation / administration & dosage
Anesthetics, Intravenous / administration & dosage
Cardiopulmonary Bypass
Child, Preschool
Echocardiography, Transesophageal
Heart Neoplasms / secondary*,  surgery
Heart Septal Defects, Atrial / surgery
Hepatic Veins / physiopathology
Kidney Neoplasms / surgery*
Liver Circulation / physiology
Neoplastic Cells, Circulating / pathology*
Wilms Tumor / secondary*,  surgery
Reg. No./Substance:
0/Anesthetics, Inhalation; 0/Anesthetics, Intravenous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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