Application of cardiopulmonary bypass for resection of renal cell carcinoma and adrenocortical carcinoma extending into the right atrium

2006 ◽  
Vol 13 (3) ◽  
pp. 202-205 ◽  
Author(s):  
TATSUMASA OCHI ◽  
NOZOMU TANJI ◽  
KENJI SHIMAMOTO ◽  
TETSUHIRO IKEDA ◽  
AKIHIKO TOSHINO ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Cell Carcinoma ◽  
Adrenocortical Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
The Right

Normothermic Cardiopulmonary Bypass with Beating Heart for Management of Renal Cell Carcinoma with Atrial Tumor Thrombus

2013 ◽  
Vol 8 (4) ◽  
pp. 316-319 ◽  
Author(s):  
Domenico Calcaterra ◽  
Thomas E. Collins ◽  
Joseph W. Turek ◽  
Kalpaj R. Parekh ◽  
Mohammad Bashir ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Vena Cava ◽  
Hospital Length Of Stay ◽  
Advanced Tumor Stage ◽  
The Right

Renal cell carcinoma is occasionally complicated by the formation of a neoplastic thrombus invading the inferior vena cava. Rarely, the thrombus extends into the vena cava, reaching the right atrium. In these situations, despite the advanced tumor stage, surgical resection continues to offer the best chance for effective treatment. The operation requires a complex surgical approach with mobilization of the liver and use, in most cases, of extracorporeal circulation, which allows removal of the tumor thrombus from the right atrium. Traditionally, the intervention is performed using deep hypo-thermic circulatory arrest or, less frequently, using moderate hypothermia, aortic cross clamping, and cardioplegic cardiac arrest. These strategies have the downside of causing increased blood loss, coagulopathy, and long operative time and can potentially have a negative impact on survival. We report a different operative approach using normothermic cardiopulmonary bypass, with the expectation of lowering the rate of blood product transfusions, hospital length of stay, and overall incidence of complications.

Removal of Renal Cell Carcinoma Extending into the Right Atrium using Cardiopulmonary Bypass, Profound Hypothermia and Circulatory Arrest

1984 ◽  
Vol 131 (5) ◽  
pp. 945-947 ◽  
Author(s):  
Robert J. Krane ◽  
Ralph Devere White ◽  
Sev Davis ◽  
Rosalyn Sterling ◽  
Dusan B. Dobnik ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Circulatory Arrest ◽  
Profound Hypothermia ◽  
The Right

Intraoperative Renal Cell Carcinoma Tumor Embolization to the Right Atrium: Incidental Diagnosis by Transesophageal Echocardiography

2006 ◽  
Vol 102 (2) ◽  
pp. 378-379 ◽  
Author(s):  
Christopher B. Komanapalli ◽  
Uttam Tripathy ◽  
Mitchell Sokoloff ◽  
Siamak Daneshmand ◽  
Asish Das ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Transesophageal Echocardiography ◽  
Right Atrium ◽  
Renal Cell ◽  
Incidental Diagnosis ◽  
Tumor Embolization ◽  
The Right ◽  
Carcinoma Tumor

scholarly journals Renal cell carcinoma with vena caval tumor thrombus extending into the right atrium

2006 ◽  
Vol 119 (22) ◽  
pp. 1934-1936 ◽  
Author(s):  
Hai JIANG ◽  
Zhi-gen ZHANG ◽  
Zhao-dian CHEN ◽  
Shi-fang SHI ◽  
Song-liang CAI ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
The Right ◽  
Caval Tumor Thrombus

scholarly journals The importance of intraoperative transoesophageal monitoring when operating on renal cancers that involve the right atrium

2014 ◽  
Vol 96 (6) ◽  
pp. e18-e19 ◽  
Author(s):  
J George ◽  
K Grebenik ◽  
N Patel ◽  
D Cranston ◽  
S Westaby
Keyword(s):  
Renal Cell Carcinoma ◽  
Surgical Treatment ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Transoesophageal Echocardiography ◽  
Cardiac Monitoring ◽  
Vascular Involvement ◽  
Tumour Thrombus ◽  
The Right

The surgical treatment of advanced renal cancers is challenging. Renal cell carcinoma is interesting in that it invades the vasculature and can extend up as far as the right atrium. Extension of tumour thrombus into the right atrium represents level IV disease, according to Robson staging. Transoesophageal echocardiography is useful for diagnostic purposes. It is also of great value for intraoperative cardiac monitoring and to confirm the extent of vascular involvement.

scholarly journals Anesthetic Management of Renal Cell Carcinoma Extending into the Right Atrium.

1996 ◽  
Vol 16 (2) ◽  
pp. 170-174
Author(s):  
Ryohei TAKAKUWA ◽  
Mikihito FUJIWARA ◽  
Hiromi MIZOGUCHI ◽  
Yasuko KOMEICHI ◽  
Junichiro KAWAMURA ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Anesthetic Management ◽  
The Right

scholarly journals A RARE CASE OF RENAL CELL CARCINOMA WITH HEMATOGENOUS EXTENSION INTO THE RIGHT ATRIUM

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A846
Author(s):  
Ryan Dean ◽  
Ganesh Maniam ◽  
Thien Vo
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Rare Case ◽  
The Right
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