2019 Volume 39 Issue 1 Pages 26-31
Leiomyosarcoma of inferior vena cava（IVC）is a rare tumor, and the first-line treatment is surgical resection. We experienced a case with a large leiomyosarcoma from the middle of the IVC to the right atrium, which could have been completely resected using cardiopulmonary bypass（CPB）and an auto liver transplantation procedure. We anesthesiologists selected total intravenous anesthesia. During CPB we managed circulatory dynamics in accordance with usual cardiac surgery and after CPB we controlled coagulation system based on liver transplantation. Although the operation was atypical and highly-invasive, we were able to successfully manage circulatory dynamics without difficult hemostasis. Preoperative assessment and coordination among several departments at a cancer board worked effectively.
