ArticleJournal of cardiothoracic surgery2026
Anesthetic management of a patient with malignant right ventricular tumor and pulmonary tumor embolism secondary to cervical cancer: a case report.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCardiac metastasis involving the right ventricle and pulmonary artery is extremely rare and poses significant anesthetic challenges due to the high risk of tumor embolization and hemodynamic instability. We report the anesthetic management of a patient with metastatic right ventricular tumor secondary to cervical cancer who underwent surgical resection. CASE PRESENTATION: A 63-year-old woman with a history of cervical cancer presented with respiratory symptoms and was found to have a mobile mass involving the right ventricle and main pulmonary artery on imaging. Given the risk of sudden pulmonary embolism, surgical resection under cardiopulmonary bypass was undertaken. Anesthetic management emphasized careful induction, advanced monitoring including cerebral oximetry, and intraoperative transesophageal echocardiography to guide hemodynamic management and reduce embolic risk. The procedure was completed successfully, and the patient recovered without major complications. Histopathology confirmed metastatic squamous cell carcinoma. At eight-month follow-up, the patient was alive and receiving adjuvant chemotherapy.
conclusionIntracardiac metastatic tumors with pulmonary artery involvement present substantial anesthetic risk. This case highlights the importance of individualized anesthetic planning, vigilant hemodynamic control, and echocardiographic guidance in achieving safe perioperative outcomes.
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