Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium.
Publication
, Journal Article
Merchant, AM; Friedland, MD; Behrens, MA; Williams, AR; Berchuck, A; Guinn, NR
Published in: J Surg Case Rep
December 2020
Gynecological carcinosarcomas are aggressive tumors with rare occurrence and high rates of metastases. We present the case of a 49-year-old woman with vaginal bleeding and abdominal distension who was found to have a large ovarian carcinosarcoma invading the gonadal vein and inferior vena cava (IVC) and extending into right atrium (RA). She underwent gynecologic tumor resection, IVC cavotomy and en bloc resection of tumor/thrombus through the RA. Use of intraoperative transesophageal echocardiography helped assess extent and mobility of mass in the RA to guide surgical approach. This case posed unique challenges with regard to management of induction, hemodynamics and coagulopathy.
Duke Scholars
Published In
J Surg Case Rep
DOI
ISSN
2042-8812
Publication Date
December 2020
Volume
2020
Issue
12
Start / End Page
rjaa530
Location
England
Related Subject Headings
- 3202 Clinical sciences
Citation
APA
Chicago
ICMJE
MLA
NLM
Merchant, A. M., Friedland, M. D., Behrens, M. A., Williams, A. R., Berchuck, A., & Guinn, N. R. (2020). Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium. J Surg Case Rep, 2020(12), rjaa530. https://doi.org/10.1093/jscr/rjaa530
Merchant, Akeel M., Mark D. Friedland, Marcus A. Behrens, Adam R. Williams, Andrew Berchuck, and Nicole R. Guinn. “Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium.” J Surg Case Rep 2020, no. 12 (December 2020): rjaa530. https://doi.org/10.1093/jscr/rjaa530.
Merchant AM, Friedland MD, Behrens MA, Williams AR, Berchuck A, Guinn NR. Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium. J Surg Case Rep. 2020 Dec;2020(12):rjaa530.
Merchant, Akeel M., et al. “Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium.” J Surg Case Rep, vol. 2020, no. 12, Dec. 2020, p. rjaa530. Pubmed, doi:10.1093/jscr/rjaa530.
Merchant AM, Friedland MD, Behrens MA, Williams AR, Berchuck A, Guinn NR. Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium. J Surg Case Rep. 2020 Dec;2020(12):rjaa530.
Published In
J Surg Case Rep
DOI
ISSN
2042-8812
Publication Date
December 2020
Volume
2020
Issue
12
Start / End Page
rjaa530
Location
England
Related Subject Headings
- 3202 Clinical sciences