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Case Reports
. 2023 Oct 10;18(1):280.
doi: 10.1186/s13019-023-02382-3.

Anesthetic management of thoracotomy for massive intrathoracic solitary fibrous tumor of the pleura: a case report

Wang Shen  1 , Yan Li  2 , Feng Liu  1 , Ning Liu  1 , Xiangrui Wang  3 , Zhonghua Ji  4
Affiliations
Case Reports

Anesthetic management of thoracotomy for massive intrathoracic solitary fibrous tumor of the pleura: a case report

Wang Shen et al. J Cardiothorac Surg. .

Abstract

Backgrounds: Solitary fibrous tumor of the pleura (SFTP) is a rare thoracic tumor and usually asymptomatic. Massive SFTP may affect adjacent organs and tissues including pulmonary vasculature, bronchus and heart. A thoracotomy for massive SFTP is necessary in severe case. Therefore, it is important for anesthesiologists to understand the condition of patients with massive SFTP and develop an appropriate anesthetic management strategy. A 76-year-old woman with massive SFTP presented to our clinical center and was evaluated as requiring thoracotomy. She received multidisciplinary cooperation treatment from the radiology, cardiac, thoracic surgery and anesthetic teams. The perioperative management of anesthesiologists played a crucial role in the great prognosis of this woman.

Conclusions: This case report demonstrates the importance of comprehensive and meticulous perioperative management and provides guidance to the multidisciplinary team on the potential risk and the rational treatment strategy of patients with massive SFTP during the perioperative period.

Keywords: General anesthesia; Intraoperative complications; One-lung ventilation; Perioperative medicine; Solitary fibrous tumor; Thoracotomy.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Chest contrast-enhanced computed tomography (CT) demonstrating massive opacification in the left hemithorax. A. Coronal image revealed the solitary fibrous tumor of the pleura (SFTP) occupying the majority of left hemithorax. Left ventricle (LV) was compressed by the tumor. The boundary between the pericardium outside the left ventricle and the tumor is not clear (blue arrow). Right ventricle (RV), ascending arota (AA) and pulmonary artery (PA) was pushed to the right. B. Axial image showed left bronchial obstruction and left lower lobe atelectasis because of the compression of SFTP (green arrow). Left pulmonary artery (LPA) was compressed severely. Ascending arota (AA) and descending arota (DA) was compressed as well
See this image and copyright information in PMC

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