Solitary fibrous renal tumor with thrombus extension into the inferior vena cava and right atrium

2021 ◽  
pp. 021849232199739
Author(s):  
Farouk Almohammad ◽  
Mohammad M Bakour
Keyword(s):  
Cardiac Surgery ◽  
Inferior Vena Cava ◽  
Solitary Fibrous Tumor ◽  
Right Atrium ◽  
Inferior Vena ◽  
Renal Tumor ◽  
Circulatory Arrest ◽  
Vena Cava ◽  
Deep Hypothermic Circulatory Arrest ◽  
Fibrous Tumor

A solitary fibrous tumor of the kidney with thrombus extended into the inferior vena cava and right atrium is very rare. The current surgical approach is to combine intra-abdominal and cardiac surgery with cardiopulmonary bypass. We describe a rare case of renal solitary fibrous tumor extended to the inferior vena cava and right atrium, treated with urgent cardiac surgery using deep hypothermic circulatory arrest one month after an inappropriate right nephrectomy because of the development of cavo-atrial obstruction symptoms.

Tumors of the right atrium and the inferior vena cava operated in deep hypothermic circulatory arrest

2020 ◽  
Vol 92 (4) ◽  
pp. 17-22
Author(s):  
Edward Pietrzyk ◽  
Olga Jelonek ◽  
Iwona Gorczyca ◽  
Piotr Bryk ◽  
Beata Wożakowska-Kapłon ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Inferior Vena Cava ◽  
Hospital Mortality ◽  
Kidney Cancer ◽  
Right Atrium ◽  
Inferior Vena ◽  
Circulatory Arrest ◽  
Vena Cava ◽  
Deep Hypothermic Circulatory Arrest ◽  
The Right

Introduction: Tumors which most frequently metastasize to the heart include: malignant melanoma, lung cancer, breast cancer, ovarian cancer, kidney cancer, leukemia, lymphomas and esophageal cancer. Purpose: The purpose of this paper was clinical analysis of a group of patients operated in deep hypothermic circulatory arrest due to tumors of the right atrium and the inferior vena cava. Material and method: The study covered 7 patients operated at the Cardiac Surgery Clinic with a cardiac tumor diagnosed on the basis of an echocardiographic assessment in the years 2012–2019. Before qualifying for surgical treatment, each patient underwent: thorough interview and physical examination, 12-lead ECG, laboratory tests and echocardiography. Patients additionally underwent: computed tomography of the chest or abdomen, magnetic resonance imaging and coronary angiography on the basis of which patients with significant coronary artery changes underwent simultaneous coronary artery bypass graft. After preparation, the tumor was excised from the vena cava and right atrium with simultaneous removal of the primary tumor, most often kidney cancer. Early and distant results of treatment were analyzed in the examined group of patients to determine the following endpoints: hospital mortality and survival after surgery: after 3 months and 12 months. Results: Of all operated patients: 2 individuals died in the early postoperative period due to hemorrhagic complications (hospital mortality - 28.6%), and 5 patients (71.4%) were discharged from the Clinic in a good general condition. In total, 3-month survival was 71.4%, and 12-month survival amounted to 28.6%. Conclusions: Surgeries are very complex and challenging, and usually take on average 8-10 hours. It can improve the outcomes of palliative oncological treatment, better physical function (cardiovascular fitness) and extend life from several months to several years in more than 2/3 patients.

Deep Hypothermic Circulatory Arrest for Resection of Renal Tumor in the Inferior Vena Cava

2008 ◽  
Vol 72 (7) ◽  
pp. 1175-1177 ◽  
Author(s):  
Kazumasa Orihashi ◽  
Taijiro Sueda ◽  
Tsuguru Usui ◽  
Masanobu Shigeta
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Renal Tumor ◽  
Circulatory Arrest ◽  
Vena Cava ◽  
Deep Hypothermic Circulatory Arrest ◽  
Hypothermic Circulatory Arrest

scholarly journals A case of Wilms tumor with right ventricular extension of tumor thrombus

2017 ◽  
Vol 4 (1) ◽  
pp. 60
Author(s):  
Mustafa Çakan ◽  
Ayşe Gülnur Tokuç ◽  
Kıvılcım Karadeniz Cerit ◽  
Koray Ak ◽  
Rabia Ergelen
Keyword(s):  
Inferior Vena Cava ◽  
Right Ventricle ◽  
Right Atrium ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Renal Tumor ◽  
Wilms Tumor ◽  
Vena Cava ◽  
Renal Tumors ◽  
Tumor Extension

Primary renal tumors comprise 6% of all childhood cancers. Wilms tumor is the most common primary renal tumor in pediatric age group and the peak age of diagnosis is 3-4 years. In 10% of cases tumor extension into hepatic vein and inferior vena cava can be seen. But tumor extension into whole inferior vena cava, right atrium and right ventricle is only seen in less than 1% of patients. A 2-year-old girl was admitted to the hospital because of abdominal distension that was noticed by the parents two weeks ago. Imaging studies revealed that she had a mass at the right renal lodge which was favoring to Wilms tumor and on thorax tomography tumor thrombus was seen in the whole inferior vena cava, right atrium and right ventricle. Neoadjuvant chemotherapy was given for 7 weeks. On the 8th week of diagnosis, under cardiopulmonary bypass, surgical operation by pediatric and cardiovascular surgery teams for primary renal tumor and for cavo-atrial tumor thrombus was performed. Pathological examination of the mass was reported as stage 3 diffuse anaplastic Wilms tumor. The patient completed 24 weeks of chemotherapy protocol and she is being followed for 15 months without any morbidity. We present our case to emphasize the importance of multidisciplinary approach in Wilms tumor with cardiac extension.

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