TY - JOUR
TI - Synchronous nephrectomy and cavoatrial tumor thrombectomy under
normothermic extracorporeal circulation and beating heart
AU - Mavrigiannaki, Eleftheria
AU - Fesatidis, Ioannis
AU - Kalogridaki,
AU - Evgenia
AU - Katralis, Ioannis-Petros
AU - Filippou, Dimitrios and
AU - Skandalakis, Panagiotis
AU - Vrochides, Dionisios
JO - Journal of Surgical Case Reports
PY - 2018
VL - null
TODO - 5
SP - null
PB - Oxford University Press
SN - 2042-8812
TODO - 10.1093/jscr/rjy095
TODO - null
TODO - 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.
ER -