Intraoperative Pulmonary Tumor Embolism from Renal Cell Carcinoma and a Patent Foramen Ovale Detected by Transesophageal Echocardiography

2011 ◽  
Vol 25 (1) ◽  
pp. 145-147 ◽  
Author(s):  
Nils Schallner ◽  
Norbert Wittau ◽  
Vadim Kehm ◽  
Frank Humburger ◽  
Rene Schmidt ◽  
...  
1998 ◽  
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Yuu Tanaka ◽  
Masahiko Kawaguchi ◽  
Keiichi Sha ◽  
Katsuyasu Kitaguchi ◽  
Hitoshi Furuya

1996 ◽  
Vol 61 (2) ◽  
pp. 708-710 ◽  
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Hiroshi Kubota ◽  
Akira Furuse ◽  
Yutaka Kotsuka ◽  
Kuniyoshi Yagyu ◽  
Motohiro Kawauchi ◽  
...  

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Hirotaka Watanuki ◽  
Masaho Okada ◽  
Yasuhiro Futamura ◽  
Ikuo Sugimoto ◽  
...  

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Magdy M. El-Sayed Ahmed ◽  
Raed M. Al-Najjar ◽  
Muhammad Aftab ◽  
James M. Anton ◽  
John S. Colen ◽  
...  

Pulmonary tumor embolization from renal cell carcinoma is associated with severe cardiopulmonary morbidity and high perioperative mortality rates. We report the case of a 71-year-old woman who presented with right-sided abdominal pain. Magnetic resonance images revealed a mass originating from the upper pole of the right kidney and extending into the infrahepatic portion of the inferior vena cava. Transesophageal echocardiography was continuously used to monitor the mass during intended radical nephrectomy and tumor resection. When the right kidney was mobilized, intracaval thrombus detached and migrated to the patient's right atrium, causing severe hemodynamic instability. After emergent sternotomy and during the initiation of cardiopulmonary bypass, the mass was no longer echocardiographically detectable in the heart; it was soon removed completely from the left pulmonary artery. The mass was a renal cell carcinoma. We recommend the use of transesophageal echocardiography as an efficient diagnostic tool in the early detection of pulmonary tumor embolization during the resection of renal cell carcinoma that involves the inferior vena cava.


1996 ◽  
Vol 26 (1) ◽  
pp. 161
Author(s):  
Yun Young Choi ◽  
Jae Woong Choi ◽  
Dong Kyun Park ◽  
Hyung Seon Yun ◽  
Tae Hoon Ahn ◽  
...  

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Hiroshi Kubota ◽  
Shinichi Takamoto ◽  
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Akira Furuse

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Siamak Daneshmand ◽  
Asish Das ◽  
...  

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