scholarly journals Renal cell carcinoma extending through inferior vena cava into right atrium removed with cardiopulmonary bypass support

2015 ◽  
Vol 1 (5) ◽  
Author(s):  
Anusua Banerjee ◽  
Sandeep Kumar Kar ◽  
Chaitali Sen Dasgupta ◽  
Anupam Goswami
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava

Solitary Massive Right Ventricular Metastasis of Renal Cell Carcinoma Without Inferior Vena Cava or Right Atrium Involvement

2006 ◽  
Vol 21 (3) ◽  
pp. 304-306 ◽  
Author(s):  
Fernando A. Atik ◽  
Jose L. Navia ◽  
Venkatesh Krishnamurthi ◽  
Gurmeet Singh ◽  
Takahiro Shiota ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Right Ventricular ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava

scholarly journals Surgical Treatment Strategy with Combined Cardiopulmonary Bypass for Renal Cell Carcinoma with Tumor Embolism Developed in Inferior Vena Cava

2020 ◽  
Vol 23 (1) ◽  
pp. E025-E029
Author(s):  
Tomohiro Imazuru ◽  
Masateru Uchiyama ◽  
Tomoki Shimokawa
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Surgical Management ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava ◽  
Significant Difference

Objective: Renal cell carcinoma (RCC) with tumor thrombus in the inferior vena cava (IVC) presents surgeons with a technical intraoperative challenge because of the need for aggressive surgical management. In this study, we describe our method for surgical management with cardiopulmonary bypass (CPB) and investigate the long-term outcomes of RCC patients with and without CPB. Methods: Fifteen patients with RCC underwent nephrectomy and IVC thrombectomy from May 2011 to December 2017. We retrospectively reviewed and analyzed the clinical course of all patients. Novick classification was used to assess the level of tumor thrombus extension into the IVC. Patient characteristics, surgical procedures, and postoperative outcome data in both groups were collected. Results: Twelve patients were male and 3 were female, with an average age of 62.9 ± 10.9 years (range 46 to 82). The average operative times were 824 ± 335 minutes in the patients with CPB and 646 ± 162 minutes in those without CPB (P = .17). The average amount of intraoperative bleeding was 2125 ± 1315 ml in the patients with CPB and 3333 ± 1431 ml in those without CPB (P = .14). The same tendency was observed in patients of Novick levels 3 and 4. The mean observation period was 1061.4 days. No 30-day mortality was noted. There was no significant difference in all-cause survival between the patients with CPB and those without. Conclusions: We conclude that surgical management with CPB and circulatory arrest may be a viable and safe method of treatment for RCC patients.

Surgical treatment of renal cell carcinoma with thrombosis of inferior vena cava and right atrium

2018 ◽  
Vol 0 (3) ◽  
pp. 75-79
Author(s):  
I. I. Kobza ◽  
Yu. S. Mota ◽  
S. A. Lebedeva ◽  
Yu. G. Orel ◽  
R. A. Zhuk
Keyword(s):  
Renal Cell Carcinoma ◽  
Surgical Treatment ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava

scholarly journals Surgical Treatment of Renal Cell Carcinoma with Inferior Vena Cava Thrombus: Using Liver Mobilization Technique to Avoid Cardiopulmonary Bypass

2008 ◽  
Vol 31 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Tawatchai Taweemonkongsap ◽  
Chaiyong Nualyong ◽  
Sunai Leewansangtong ◽  
Teerapon Amornvesukit ◽  
Yongyut Sirivatanauksorn ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Surgical Treatment ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
Inferior Vena Cava Thrombus

scholarly journals Selective Upper-Body Perfusion Technique for Removal of Renal Cell Carcinoma Extending into the Inferior Vena Cava and Right Atrium

2017 ◽  
Vol 44 (4) ◽  
pp. 283-286
Author(s):  
Selim Aydin ◽  
Bora Cengiz ◽  
Banu Vural Gokay ◽  
Anar Mammadov ◽  
Remzi Emiroglu ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
Upper Body ◽  
Surgical Field ◽  
The Right

Invasion of a renal cell carcinoma thrombus into the inferior vena cava and right atrium is infrequent. Reaching and completely excising a tumor from the inferior vena cava is particularly challenging because the liver covers the surgical field. We report the case of a 61-year-old man who underwent surgery for a renal cell carcinoma of the right kidney that extended into the inferior vena cava and right atrium. During dissection of the liver to expose the inferior vena cava, transesophageal echocardiograms revealed right atrial mass migration into the tricuspid valve. On emergency sternotomy, the tumor embolized into the main pulmonary artery. We used a selective upper-body perfusion technique involving moderately hypothermic cardiopulmonary bypass, cardioplegic arrest, and clamping of the descending aorta, which provided a bloodless surgical field for precise removal of the mass and resulted in minimal blood loss. Our technique might be useful in other patients with tumor thrombus extending into the right atrium because it reduces the need for transfusion and avoids the deleterious effects of deep hypothermic circulatory arrest. Our case also illustrates the importance of continuous transesophageal echocardiographic monitoring to detect thrombus embolization.

scholarly journals Renal Cell Carcinoma With Extensive Tumor Thrombus Into the Inferior Vena Cava and Right Atrium in a 70-Year-Old Man

2019 ◽  
Vol 13 (3) ◽  
pp. 155798831984640 ◽  
Author(s):  
Monica-Alexandra Oltean ◽  
Roxana Matuz ◽  
Adela Sitar-Taut ◽  
Anca Mihailov ◽  
Nicolae Rednic ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava
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