Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome
The perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC syndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting in pulmonary embolism and also has to assess the need for...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2016/2106242 |
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| _version_ | 1832565518448459776 |
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| author | Benjamin Kloesel Robert W. Lekowski |
| author_facet | Benjamin Kloesel Robert W. Lekowski |
| author_sort | Benjamin Kloesel |
| collection | DOAJ |
| description | The perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC syndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting in pulmonary embolism and also has to assess the need for fluid resuscitation given the dangers of massive intravenous fluid application via the upper extremities. We present our perioperative approach in management of a patient scheduled for right hepatectomy who was previously diagnosed with extensive SVC and right atrial (RA) thrombus complicated by SVC syndrome. |
| format | Article |
| id | doaj-art-90e494304567461ab44e3cf1a8a78d73 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-90e494304567461ab44e3cf1a8a78d732025-02-03T01:07:31ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/21062422106242Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava SyndromeBenjamin Kloesel0Robert W. Lekowski1Department of Anesthesia, Perioperative and Pain Medicine, Boston Children’s Hospital, Boston, MA 02115, USADepartment of Anesthesia, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA 02115, USAThe perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC syndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting in pulmonary embolism and also has to assess the need for fluid resuscitation given the dangers of massive intravenous fluid application via the upper extremities. We present our perioperative approach in management of a patient scheduled for right hepatectomy who was previously diagnosed with extensive SVC and right atrial (RA) thrombus complicated by SVC syndrome.http://dx.doi.org/10.1155/2016/2106242 |
| spellingShingle | Benjamin Kloesel Robert W. Lekowski Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome Case Reports in Anesthesiology |
| title | Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome |
| title_full | Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome |
| title_fullStr | Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome |
| title_full_unstemmed | Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome |
| title_short | Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome |
| title_sort | complex perioperative decision making liver resection in a patient with extensive superior vena cava right atrial thrombus and superior vena cava syndrome |
| url | http://dx.doi.org/10.1155/2016/2106242 |
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