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J Thorac Cardiovasc Surg 2006;132:687-688
© 2006 The American Association for Thoracic Surgery

Brief Communication

Endoscopic tumor resection of the inferior vena cava

H. Jeanmart, MDa, P. Lecompte, MDb, F. Casselman, MD, PhD, FETCSa,*, J. Coddens, MDb, G. Van Vaerenberga, H. Vanermen, MDa

a Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium
b Department of Anesthesiology, OLV Clinic, Aalst, Belgium

Received for publication March 28, 2006; accepted for publication April 10, 2006.

* Address for reprints: F. P. Casselman, MD, PhD, FETCS, OLV Clinic, Department of Cardiovascular and Thoracic Surgery, Moorselbaan 164, Aalst, B-9300, Belgium (Email: filip.casselman@olvz-aalst.be).

The first 20% of the full text of this article appears below.


Figure 1
Drs Casselman and Vanermen


Preoperative History

A 51-year-old woman was referred for evaluation of an asymptomatic systolic murmur. Transthoracic echocardiography showed a large right atrial (RA) mass with intermittent prolapse through the tricuspid valve and extending into the pulmonary artery. On the preoperative transesophageal echocardiographic examination, a tumor with multiple strands was seen. One strand intermittently obstructed the outflow of the hepatic vein (Figure 1). There was apparent obstruction of the RA inflow and right ventricular inflow and outflow tracts by another strand.


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  		Figure 1. On the transgastric view, the mass can be seen coming from the right atrium and going across the pulmonary valve, into the pulmonary artery. RA, right atrium; LA, left atrium; RV, right ventricle; PA, pulmonary artery.

 
Operative and Postoperative Period

The resection was performed with a minimally invasive . . . [Full Text of this Article]




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