• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

786-300-3183 | [email protected]

  • Twitter
  • Facebook
Florida Society of Anesthesiologists

Florida Society of Anesthesiologists

  • About FSA
    • FSA Leadership
      • FSA Past Presidents
      • Distinguished Service Award Past Recipients
      • Recipients of the FSA Presidential Engagement Award
    • FSA Staff
    • FSA NEWS
    • Calendar of Events
    • Contact FSA
    • FSA Charter & Bylaws
    • FSA Speakers Bureau
  • FSA Annual Meeting
    • 2025 Annual Meeting Recap
    • Call For Abstracts
    • Past Posters
      • 2025 FSA Podium and Poster Abstracts
      • 2024 FSA Podium and Poster Abstracts
      • 2023 FSA Podium and Poster Abstracts
      • 2022 FSA Podium and Poster Abstracts
      • 2021 FSA Posters
      • 2020 FSA Posters
      • 2019 FSA Posters
      • 2018 FSA Posters
    • Past Meetings
      • 2024 Annual Meeting Recap
      • 2023 Meeting Recap
      • 2022 Annual Meeting Recap
      • 2019 Annual Meeting Recap
      • 2018 Annual Meeting Recap
  • FSAPAC
    • Donate to the FSAPAC
    • FSAPAC Donors for 2025
  • Member Login
  • Member Portal
  • Become a Member
    • FSA Membership Renewal
    • Join the Florida Society of Anesthesiologists (FSA)

2024 FSA Podium and Poster Abstracts

2024 FSA Podium and Poster Abstracts

P102: THE ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE ANESTHETIC MANAGEMENT OF A COMPLEX VASCULAR TUMOR RESECTION: A CASE REPORT
Valencia T Henry, MS1; Johnathan R Renew, MD2; Monica Mordecai, MD2; 1Edward Via College of Osteopathic Medicine-Carolinas Campus; 2Mayo Clinic Florida

Introduction: Transesophageal echocardiography (TEE) is a valuable tool in guiding the management of complex cardiovascular surgeries, providing detailed imaging of cardiac structures and real-time assessment of hemodynamics. Here, we present a case where TEE played a pivotal role in the surgical management of a patient with a large pulmonary angiosarcoma requiring radical debulking surgery.

Case Presentation: We present a case of a 38-year-old male who is a lifetime nonsmoker with no pertinent past medical history who presented for progressive dyspnea for several months. He was diagnosed with a suspected blood clot of his right lung and prescribed anticoagulants. His breathing improved briefly, but on reimaging the lesion was still present and his symptoms persisted. He was admitted with an episode of hemoptysis and bronchoscopy was negative for lesions. At this time the patient admitted to 50lb weight loss and fatigue which prompted a PET/CT scan that showed a large mass in the right pulmonary artery consistent with pulmonary angiosarcoma. Surgical debulking of the tumor was planned and intraoperative transesophageal echocardiography (TEE) revealed a massive tumor in the right pulmonary artery, extending into the left atrium and closely abutting the aortic root and left main coronary artery. The tumor was larger than anticipated and TEE allowed for real-time imaging and hemodynamic monitoring while ensuring coronary blood flow was not compromised. Additionally, TEE helped monitor for potential complications, such as pericardial effusion and guided the management of hemodynamic instability with vasopressor support. Following resection with pneumonectomy, the patient was successfully weaned from cardiopulmonary bypass without complications and TEE showed preserved cardiac function. The patient was extubated on postoperative day 2 and transferred out of the ICU on postoperative day 3. The patient is recovering well, and the final pathology results are pending.

Discussion/Conclusion: In the context of radical debulking surgery for pulmonary angiosarcoma, TEE assumes multifaceted significance. Firstly, it facilitates a comprehensive assessment of cardiac function, guiding hemodynamic optimization and ensuring intraoperative stability. Secondly, TEE offers unparalleled visualization of tumor invasion into adjacent structures, aiding in surgical planning and execution. By delineating tumor margins and assessing the extent of vascular involvement, TEE empowers surgeons to navigate complex anatomical terrain with precision. Additionally, TEE serves as an invaluable tool for detecting intraoperative complications such as pericardial effusion, enabling prompt intervention and mitigation of adverse events. In the era of advanced surgical techniques, the integration of TEE into the perioperative management of complex cardiovascular procedures is paramount. This case highlights the indispensable role of TEE in guiding anesthetic management and facilitating successful surgical outcomes in patients undergoing radical debulking surgery for invasive pulmonary angiosarcoma. Moving forward, continued emphasis on multidisciplinary collaboration and utilization of TEE in challenging surgical scenarios is imperative for optimizing patient care and achieving favorable treatment outcomes.

Key Words: Transesophageal echocardiography (TEE), pulmonary angiosarcoma, anesthetic management, radical debulking surgery.

Copyright © 2025 · Florida Society of Anesthesiologists · All Rights Reserved