{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:17:46Z","timestamp":1760955466100},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2014,3,22]],"date-time":"2014-03-22T00:00:00Z","timestamp":1395446400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>A 60\u00a0years old chinese male scheduled for a removal of an intracardiac mass occupying majority of right ventricular space, right ventricular outflow tract and pulmonary artery. The giant cardiac mass was later diagnosed pathologically as metastatic liposarcoma. The patient had a history of surgical removal of myxoid liposarcoma from his left thigh many years ago. It is extremely rare for liposarcoma to metastatize to right ventricle and pulmonary artery. The anesthetic management of the surgical procedure to remove this kind of intracardiac mass poses significant challenges to anesthesia providers. Our patient developed refractory hypotension after induction of general anesthesia which necessitated urgent cardiopulmonary bypass. The surgical procedure was successful and the patient recovered from the surgery and was discharged home without significant complication. Accurate preoperative diagnosis and assessment of patient\u2019s functional status, appropriate preoperative volume status, emergency cardiopulmonary bypass readiness, smooth and gentle induction of general anesthesia with less myocardial depressing agent, and closely monitoring patient\u2019s vitals and hemodynamic parameters are imperative in managing this kind of patients.<\/jats:p>","DOI":"10.1186\/1749-8090-9-56","type":"journal-article","created":{"date-parts":[[2014,3,22]],"date-time":"2014-03-22T06:23:39Z","timestamp":1395469419000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Anesthetic management of the removal of a giant metastatic cardiac liposarcoma occupying right ventricle and pulmonary artery"],"prefix":"10.1186","volume":"9","author":[{"given":"Jianhong","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueying","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liqing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Feng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ceyan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengmei","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2014,3,22]]},"reference":[{"key":"1428_CR1","doi-asserted-by":"publisher","first-page":"792","DOI":"10.2214\/ajr.103.4.792","volume":"103","author":"EC Tong","year":"1968","unstructured":"Tong EC, Rubenfeld S: Cardiac metastasis from myxoid liposarcoma emphasizing its radiosensitivity. Am J Roentgenol Radium Ther Nucl Med. 1968, 103: 792-799. 10.2214\/ajr.103.4.792.","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"1428_CR2","first-page":"1353","volume":"85","author":"JM Langlard","year":"1992","unstructured":"Langlard JM, Lef\u00e9vre M, Fiche M, Chevallier JC, Godin O, Bouhour JB: [Right atrioventricular metastasis of myxoid liposarcoma. Prolonged course after repeated surgery and chemotherapy]. Arch Mal Coeur Vaiss. 1992, 85: 1353-1356.","journal-title":"Arch Mal Coeur Vaiss"},{"key":"1428_CR3","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1111\/j.1540-8191.2005.200389.x","volume":"20","author":"T Kono","year":"2005","unstructured":"Kono T, Amano J, Sakaguchi M, Kitahara H: Successful resection of cardiac metastatic liposarcoma extending into the SVC, right atrium, and right ventricle. J Card Surg. 2005, 20: 364-365. 10.1111\/j.1540-8191.2005.200389.x.","journal-title":"J Card Surg"},{"key":"1428_CR4","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.2169\/internalmedicine.50.5071","volume":"50","author":"M Mitomi","year":"2011","unstructured":"Mitomi M, Kimura K, Iguchi Y, Hayashida A, Nishimura H, Irei I, Okawaki M, Ikeda H: A case of stroke due to tumor emboli associated with metastatic cardiac liposarcoma. Intern Med. 2011, 50: 1489-1491. 10.2169\/internalmedicine.50.5071.","journal-title":"Intern Med"},{"key":"1428_CR5","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1200\/JCO.1986.4.11.1662","volume":"4","author":"DE Hallahan","year":"1986","unstructured":"Hallahan DE, Vogelzang NJ, Borow KM, Bostwick DG, Simon MA: Cardiac metastases from soft-tissue sarcomas. J Clin Oncol. 1986, 4: 1662-1669.","journal-title":"J Clin Oncol"},{"key":"1428_CR6","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1001\/archsurg.1983.01390010087020","volume":"118","author":"TS Ravikumar","year":"1983","unstructured":"Ravikumar TS, Topulos GP, Anderson RW, Grage TB: Surgical resection for isolated cardiac metastases. Arch Surg. 1983, 118: 117-120. 10.1001\/archsurg.1983.01390010087020.","journal-title":"Arch Surg"},{"key":"1428_CR7","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1007\/s10554-005-0653-0","volume":"21","author":"EB Fairman","year":"2005","unstructured":"Fairman EB, Mauro VM, Cianciulli TF, Rubio M, Charask AA, Bustamante J, Barrero CM: Liposarcoma causing left ventricular outflow tract obstruction and syncope: a case report and review of the literature. Int J Cardiovasc Imaging. 2005, 21: 513-518. 10.1007\/s10554-005-0653-0.","journal-title":"Int J Cardiovasc Imaging"},{"key":"1428_CR8","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1097\/01.rti.0000213591.37096.1c","volume":"22","author":"A Chughtai","year":"2007","unstructured":"Chughtai A, Cronin P, Lucas DR, Prager R, Kazerooni EA: Metastatic shoulder liposarcoma to the right ventricle: CT findings. J Thorac Imaging. 2007, 22: 195-198. 10.1097\/01.rti.0000213591.37096.1c.","journal-title":"J Thorac Imaging"},{"key":"1428_CR9","doi-asserted-by":"publisher","first-page":"E261","DOI":"10.1532\/HSF98.20111021","volume":"14","author":"U Dogan","year":"2011","unstructured":"Dogan U, Zamani A, Gormus N, Paksoy Y, Avunduk MC, Demirbas S: The first case report of a metastatic myxoid liposarcoma invading the left atrial cavity and pulmonary vein. Heart Surg Forum. 2011, 14: E261-E263. 10.1532\/HSF98.20111021.","journal-title":"Heart Surg Forum"},{"key":"1428_CR10","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1161\/01.CIR.63.2.448","volume":"63","author":"JD Godwin","year":"1981","unstructured":"Godwin JD, Axel L, Adams JR, Schiller NB, Simpson PC, Gertz EW: Computed tomography: a new method for diagnosing tumor of the heart. Circulation. 1981, 63: 448-451. 10.1161\/01.CIR.63.2.448.","journal-title":"Circulation"},{"key":"1428_CR11","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1016\/0003-4975(90)90310-3","volume":"49","author":"MC Murphy","year":"1990","unstructured":"Murphy MC, Sweeney MS, Putnam JB, Walker WE, Frazier OH, Ott DA, Cooley DA: Surgical treatment of cardiac tumors: a 25-year experience. Ann Thorac Surg. 1990, 49: 612-617. 10.1016\/0003-4975(90)90310-3. discussion 617-618","journal-title":"Ann Thorac Surg"},{"key":"1428_CR12","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1007\/s12630-009-9118-6","volume":"56","author":"AM Flexman","year":"2009","unstructured":"Flexman AM, Del Vicario G, Schwarz SK: Hemodynamic collapse under anesthesia in a patient with pulmonary artery sarcoma. Can J Anaesth. 2009, 56: 604-608. 10.1007\/s12630-009-9118-6.","journal-title":"Can J Anaesth"},{"key":"1428_CR13","first-page":"273","volume":"52","author":"MP Nath","year":"2011","unstructured":"Nath MP, Dhawan N, Chauhan S, Kiran U: A large angiosarcoma of the right atrium: anaesthetic management. Hellenic J Cardiol. 2011, 52: 273-277.","journal-title":"Hellenic J Cardiol"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-9-56.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1749-8090-9-56\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-9-56","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-9-56.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T03:22:33Z","timestamp":1630552953000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/1749-8090-9-56"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,22]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["1428"],"URL":"https:\/\/doi.org\/10.1186\/1749-8090-9-56","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,22]]},"assertion":[{"value":"29 August 2013","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2014","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2014","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"56"}}