A case of a right atrial blood cyst with difficulty in identifying the attachment site using intraoperative transesophageal echocardiography

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Other Title
  • 術中経食道心エコーで付着位置の同定が困難であった右心房内血液嚢腫の一例
  • ジュッチュウケイ ショクドウシン エコー デ フチャク イチ ノ ドウテイ ガ コンナン デ アッタ ミギ シンボウ ナイ ケツエキノウ シュ ノ イチレイ

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Abstract

<p> We report a case of a cardiac blood cyst, the attachment site of which could not be identified by preoperative transthoracic echocardiography (TTE) and intraoperative transesophageal echocardiography (TEE). Preoperative TTE and CT showed the tumor near the entry of the right atrium in the inferior vena cava but we could not identify the tumor attachment site. Identifying the attachment site is critical for tumor resection. However, intraoperative TEE showed only a part of the tumor. Surgical site echocardiography revealed tumor attachment at the right side of the atrial septum, which allowed tumor resection during cardiopulmonary bypass. Thus, surgical site echocardiography was useful in identifying the attachment site of an atrial blood cyst.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 25 (1), 85-88, 2021-08-01

    Japanese Society of Cardiovascular Anesthesiologists

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