Anesthetic management for resection of recurrent thymic neuroendocrine tumor involving the brachiocephalic vein and superior vena cava:A case report
Objective To report the anesthetic management during the surgical resection of a recurrent thymic neuroendocrine tumor involving the brachiocephalic vein and superior vena cava (SVC).Methods The thymic tumor's involvement with the brachiocephalic vein and SVC poses significant surgical and anesthetic risks,in-cluding potential venous obstruction and superior vena cava syndrome (SVCS ).A comprehensive preoperative anesthetic plan was developed,with close intraoperative monitoring and collaboration between surgeons and anes-thesiologists.Precision fluid management and continuous venous pressure monitoring ensured patient safety.Results The patient remained stable during surgery,had no major complications,and was discharged after a smooth recovery.Conclusion Effective management focuses on preventing complications from impaired venous return.This case offers valuable insights for anesthetic management in similar situations.