CASE REPORT
Year : 2018  |  Volume : 12  |  Issue : 2  |  Page : 321-323

Wilm's tumor with intracardiac extension causing dynamic tricuspid valve obstruction: An anesthetic challenge


1 Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Cardiothoracic and Vascular surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Kamal Kajal
Department of Anaesthesia and Intensive Care, Fourth Floor, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_472_17

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Wilms' tumor (WT) is the most common pediatric renal tumor that often spreads to inferior vena cava and sometimes up to right atrium (RA). We describe successful management of 3-year-old child diagnosed with WT having extension up to RA. He was operated under cardiopulmonary bypass and extubated on postoperative day 2 and discharged. Perioperative anesthesia concerns were shock from dynamic tricuspid valve obstruction, intraoperative massive blood loss, and a higher risk of pulmonary thromboembolism during tumor manipulation.


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