Anesthetic management of thoracotomy for massive intrathoracic solitary fibrous tumor of the pleura: a case report

Journal of Cardiothoracic Surgery

Case Report

Wang Shen¹  Ning Liu¹  Zhonghua Ji¹  Feng Liu¹  Xiangrui Wang²  Yan Li³ 

[1] Department of Anesthesiology, Shanghai East Hospital Affiliated to Tongji University, No.150 Jimo Road, 200120, Shanghai, China;Department of Pain, Shanghai East Hospital Affiliated to Tongji University, Shanghai, China;Department of Radiology, Shanghai East Hospital Affiliated to Tongji University, Shanghai, China;

关键词: Solitary fibrous tumor;    General anesthesia;    Perioperative medicine;    Thoracotomy;    One-lung ventilation;    Intraoperative complications;   

DOI  :  10.1186/s13019-023-02382-3

 received in 2023-03-18, accepted in 2023-09-30,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundsSolitary fibrous tumor of the pleura (SFTP) is a rare thoracic tumor and usually asymptomatic. Massive SFTP may affect adjacent organs and tissues including pulmonary vasculature, bronchus and heart. A thoracotomy for massive SFTP is necessary in severe case. Therefore, it is important for anesthesiologists to understand the condition of patients with massive SFTP and develop an appropriate anesthetic management strategy.Case summaryA 76-year-old woman with massive SFTP presented to our clinical center and was evaluated as requiring thoracotomy. She received multidisciplinary cooperation treatment from the radiology, cardiac, thoracic surgery and anesthetic teams. The perioperative management of anesthesiologists played a crucial role in the great prognosis of this woman.ConclusionsThis case report demonstrates the importance of comprehensive and meticulous perioperative management and provides guidance to the multidisciplinary team on the potential risk and the rational treatment strategy of patients with massive SFTP during the perioperative period.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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