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ANAESTHETIC MANAGEMENT OF LARGE RETROPERITONEAL LIPOSARCOMA RESECTION IN A PATIENT WITH SEVERE MITRAL STENOSIS
Article Information
Language English
Corres.Author Monal Ramani
Email monalramani@yahoo.co.in
Accepted Date 2015-12-07 08:19:37
File size 290.43 KB
No of Downloads 1624
Published by www.ijcpcr.com
Full Text
A case of an elderly female with large retroperitoneal liposarcoma who is a known case of severe mitral stenosis who is posted for laparotomy. Liposarcoma is a malignant tumor of mesenchymal origin in which the bulk of tissue differentiates into adipose tissue. Most frequent in middle-aged and older adults (age >40y), liposarcomas are the second most common of all soft-tissue sarcomas. Mitral stenosis (MS) is characterized by obstruction to left ventricular inflow at the level of mitral valve due to structural abnormality of the mitral valve apparatus. Severe MS being MVA < 1 cm2. Anaesthetic management of a patient of liposarcoma with concurrent severe mitral stenosis should be comprised of adequate preoperative optimization using a multidisciplinary approach, careful monitoring, proper use of anaesthetic techniques and vigilant postoperative care.ddd