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Echocardiography allows safer venous cannulation during excision of large right atrial masses.

Publication ,  Journal Article
Rousou, JA; Tighe, DA; Rifkin, RD; Engelman, RM; Flack, JE; Deaton, DW; Anene, CA; Fernandes, EA
Published in: Ann Thorac Surg
February 1998

BACKGROUND: Excision of large right atrial masses requires bicaval cannulation and cardiopulmonary bypass. Safe venous cannulation can be accomplished only by knowing the exact intracavitary location and extension of the mass to avoid fragmentation. Transthoracic echocardiography and intraoperative transesophageal echocardiography, although helpful, cannot always define the exact intracavitary relationships of the tumor. METHODS: We have used both intraoperative transesophageal and epicardial echocardiography to guide venous cannulation in 4 patients with large right atrial masses. Both echo images are used by the surgeon to select the exact site and method of cannulation to avoid fragmentation of the mass. Epicardial echocardiography complemented the images obtained by transesophageal echocardiography. RESULTS: The technique of combined transesophageal and epicardial echocardiography allowed safe venous cannulation in all 4 patients. Each of the right atrial masses was safely excised using case-specific cannulation techniques guided by the echocardiographic images. CONCLUSIONS: We propose the routine use of both intraoperative transesophageal and epicardial echocardiography in guiding venous cannulation for safe excision of large right atrial masses.

Duke Scholars

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

February 1998

Volume

65

Issue

2

Start / End Page

403 / 406

Location

Netherlands

Related Subject Headings

  • Venae Cavae
  • Thrombosis
  • Respiratory System
  • Middle Aged
  • Male
  • Intraoperative Period
  • Humans
  • Heart Neoplasms
  • Heart Diseases
  • Heart Atria
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rousou, J. A., Tighe, D. A., Rifkin, R. D., Engelman, R. M., Flack, J. E., Deaton, D. W., … Fernandes, E. A. (1998). Echocardiography allows safer venous cannulation during excision of large right atrial masses. Ann Thorac Surg, 65(2), 403–406. https://doi.org/10.1016/s0003-4975(97)01017-5
Rousou, J. A., D. A. Tighe, R. D. Rifkin, R. M. Engelman, J. E. Flack, D. W. Deaton, C. A. Anene, and E. A. Fernandes. “Echocardiography allows safer venous cannulation during excision of large right atrial masses.Ann Thorac Surg 65, no. 2 (February 1998): 403–6. https://doi.org/10.1016/s0003-4975(97)01017-5.
Rousou JA, Tighe DA, Rifkin RD, Engelman RM, Flack JE, Deaton DW, et al. Echocardiography allows safer venous cannulation during excision of large right atrial masses. Ann Thorac Surg. 1998 Feb;65(2):403–6.
Rousou, J. A., et al. “Echocardiography allows safer venous cannulation during excision of large right atrial masses.Ann Thorac Surg, vol. 65, no. 2, Feb. 1998, pp. 403–06. Pubmed, doi:10.1016/s0003-4975(97)01017-5.
Rousou JA, Tighe DA, Rifkin RD, Engelman RM, Flack JE, Deaton DW, Anene CA, Fernandes EA. Echocardiography allows safer venous cannulation during excision of large right atrial masses. Ann Thorac Surg. 1998 Feb;65(2):403–406.
Journal cover image

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

February 1998

Volume

65

Issue

2

Start / End Page

403 / 406

Location

Netherlands

Related Subject Headings

  • Venae Cavae
  • Thrombosis
  • Respiratory System
  • Middle Aged
  • Male
  • Intraoperative Period
  • Humans
  • Heart Neoplasms
  • Heart Diseases
  • Heart Atria