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Successful perioperative management of a primary pulmonary arterial angiosarcoma: case report
Bartakke, Ashish Anil; Sanchez, Jose Ignacio Saez de Ibarra.
  • Bartakke, Ashish Anil; Hospital Universitari Son Llatzer and Quiron Clinica Rotger. Faculty Consultant Cardiothoracic and Vascular Anesthesia and Perioperative Medicine. Palma de Mallorca. ES
  • Sanchez, Jose Ignacio Saez de Ibarra; Hospital Universitari Son Espases. Cardiovascular Surgery. Quiron Clinica Rotger and Head of Service. Palma de Mallorca. ES
Braz. j. anesth ; 74(1): 744186, 2024. graf
Article in English | LILACS-Express | LILACS | ID: biblio-1557228
ABSTRACT
Abstract

Introduction:

Primary pleomorphic pulmonary angiosarcomas are extremely rare tumors which could be easily mistaken for pulmonary emboli. Background and

findings:

We describe the successful perioperative management of a patient with a pulmonary arterial mass which turned out to be a primary pulmonary angiosarcoma. The severe pulmonary hypertension was a particular challenge compounded with the site and adhesions of the tumor, and pulmonary hemorrhage. The procedure was successfully performed with strict hemodynamic control ensuring stable systemic and pulmonary arterial pressures using perioperative transesophageal echocardiography to continuously monitor cardiac function, along with other standard cardiac surgical monitors including depth of anesthesia monitoring.

Conclusion:

Tight hemodynamic control, ensuring stable pulmonary arterial pressures using perioperative echocardiography, and thorough preparation with measures to reduce and prevent increase in pulmonary arterial pressure along with close communication within the multidisciplinary team are essential for successful management of patients with this pathology.


Full text: Available Index: LILACS (Americas) Language: English Journal: Braz. j. anesth Journal subject: Anesthesiology Year: 2024 Type: Article Affiliation country: Spain Institution/Affiliation country: Hospital Universitari Son Espases/ES / Hospital Universitari Son Llatzer and Quiron Clinica Rotger/ES

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Full text: Available Index: LILACS (Americas) Language: English Journal: Braz. j. anesth Journal subject: Anesthesiology Year: 2024 Type: Article Affiliation country: Spain Institution/Affiliation country: Hospital Universitari Son Espases/ES / Hospital Universitari Son Llatzer and Quiron Clinica Rotger/ES