Use of Multimodal Imaging in the Management of Tumor Embolism From the Inferior Vena Cava Through the Right Heart in a Patient With Renal Cell Carcinoma

2014 ◽  
Vol 28 (5) ◽  
pp. 1421-1424 ◽  
Author(s):  
Elizabeth M. Colwell ◽  
Sweeta D. Gandhi ◽  
Zafar Iqbal ◽  
Zahir A. Rashid ◽  
Paul S. Pagel
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Multimodal Imaging ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Heart ◽  
Tumor Embolism ◽  
The Right

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.

Renal Cell Carcinoma With Tumor Thrombus Extending Through the Inferior Vena Cava Into the Right Cardiac Cavities

Circulation ◽  
1997 ◽  
Vol 96 (8) ◽  
pp. 2729-2730 ◽  
Author(s):  
Tushar Chatterjee ◽  
Markus F. Muller ◽  
Thierry Carrel ◽  
Urs Kaufmann ◽  
Bernhard Meier
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava ◽  
The Right

scholarly journals Renal Cell Carcinoma with Thrombus Extension into the Inferior Vena Cava and the Right Atrium: A Case Report

CASE ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 274-277
Author(s):  
Ahmed Abdelfattah ◽  
Mohamed El Wazir ◽  
Yehia Z. Ali ◽  
Jwan Naser ◽  
Brandon M. Wiley
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
The Right

Renal Cell Carcinoma Extending from the Inferior Vena Cava into the Right Atrium

2003 ◽  
Vol 19 (3) ◽  
pp. 180-183
Author(s):  
Kathy B. Kane ◽  
Donna M. Cummings ◽  
Norma L. Willis ◽  
Karen Kurkjian
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
The Right
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