The perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC\nsyndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting\nin pulmonary embolism and also has to assess the need for fluid resuscitation given the dangers of massive intravenous fluid\napplication via the upper extremities. We present our perioperative approach in management of a patient scheduled for right\nhepatectomy who was previously diagnosed with extensive SVC and right atrial (RA) thrombus complicated by SVC syndrome.
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