@article{3179707,
    title = "Synchronous nephrectomy and cavoatrial tumor thrombectomy under
normothermic extracorporeal circulation and beating heart",
    author = "Mavrigiannaki, Eleftheria and Fesatidis, Ioannis and Kalogridaki, and Evgenia and Katralis, Ioannis-Petros and Filippou, Dimitrios and and Skandalakis, Panagiotis and Vrochides, Dionisios",
    journal = "Journal of Surgical Case Reports",
    year = "2018",
    number = "5",
    publisher = "Oxford University Press",
    issn = "2042-8812",
    doi = "10.1093/jscr/rjy095",
    abstract = "Formation of tumor thrombus is an occasional manifestation of renal cell
carcinoma (RCC). Intravascular invasion of the renal vein and thereafter
the inferior vena cava (IVC) might in very rare cases extend into the
cardiac chambers. The subtle course and symptoms of such cases alongside
with the engagement of vital anatomical structures marks them as a
diagnostic and therapeutic challenge. Aggressive surgical intervention
has proven to be critical for survival rates in such cases; however
total synchronous resection remains a challenge for the surgical team
and a debate for the medical community. Following we report the case of
a 66-year-old male who was diagnosed with a RCC of the right kidney
accompanied by a tumor thrombus extending into the right atrium, after
he suffered a presyncope episode. The patient underwent a radical en
bloc nephrectomy and tumor thrombectomy under extracorporeal circulation
with beating heart."
}