{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:36:39Z","timestamp":1787841399103,"version":"build-2784847793"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Wilms\u2019 tumor (WT) is the most common pediatric renal tumor that often spreads to inferior vena cava and sometimes up to right atrium (RA). We describe successful management of 3-year-old child diagnosed with WT having extension up to RA. He was operated under cardiopulmonary bypass and extubated on postoperative day 2 and discharged. Perioperative anesthesia concerns were shock from dynamic tricuspid valve obstruction, intraoperative massive blood loss, and a higher risk of pulmonary thromboembolism during tumor manipulation.<\/jats:p>","DOI":"10.4103\/sja.sja_472_17","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T23:57:08Z","timestamp":1520553428000},"page":"321-323","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Wilm's tumor with intracardiac extension causing dynamic tricuspid valve obstruction: An anesthetic challenge"],"prefix":"10.4103","volume":"12","author":[{"given":"Kamal","family":"Kajal","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh Kumar","family":"Munirathinam","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banashree","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komal","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harkant","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Kanojia","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250920","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00000658-200107000-00017","article-title":"Intravascular extension of Wilms tumor","volume":"234","author":"Shamberger","year":"2001","journal-title":"Ann Surg"},{"key":"R2-20250920","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1016\/S0022-5347(17)41975-6","article-title":"Intracaval and atrial involvement with nephroblastoma: Review of National Wilms Tumor Study-3","volume":"140","author":"Ritchey","year":"1988","journal-title":"J Urol"},{"key":"R3-20250920","first-page":"1137","article-title":"Reversible tricuspid valve obstruction during removal of renal cell carcinoma with intracardiac tumor extention","volume":"91","author":"Takeda","year":"2000","journal-title":"Anesth Analg"},{"key":"R4-20250920","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1111\/j.1537-2995.2011.03555.x","article-title":"Blood salvage and cancer surgery: A meta-analysis of available studies","volume":"52","author":"Waters","year":"2012","journal-title":"Transfusion"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01437113-201812020-00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:52:45Z","timestamp":1787838765000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01437113-201812020-00026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":4,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_472_17","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}