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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2011; 01(04): 46-49
DOI: 10.1055/s-0040-1703541
Case Report

PATIENT UNDERGOING COMBINED RIGHT RADICAL NEPHRECTOMY AND RIGHT ATRIAL TUMOUR EXCISION: ANAESTHETIC MANAGEMENT

Manjunath R. Kamath
1   Department of Anaesthesia, Justice K.S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka - 575 018, India
,
Krishna Prasad P.
1   Department of Anaesthesia, Justice K.S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka - 575 018, India
,
Mundayat Gopalakrishnan
2   Cardiothoracic and Vascular Surgery, Justice K.S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka - 575 018, India
,
Rajeev T. P.
3   Urology, Justice K.S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka - 575 018, India
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Abstract

We describe anaesthetic management of a rare case of right atrial tumour with right renal mass posted for combined excision of right atrial tumor and right radical nephrectomy. Anaesthesia plan was combined thoracic epidural anaesthesia & general anaesthesia. Right renal mass was removed through the anterior subcostal incision, followed by the right atrial mass excision through the midline sternotomy incision under cardiopulmonary bypass. Issues related to the possibility of inferior vena cava (IVC) thrombus & its extension into the right atrium and the subsequent removal, pain management, ideal position of the central venous access, cardiopulmonary bypass with a single kidney are discussed.

Keywords

Atrial myxoma - Renal cell carcinoma (RCC) - IVC thrombus - Cardiopulmonary bypass (CPB)


Publication History

Article published online:
27 June 2020

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