scholarly journals Multiple Primary Synchronous Renal Cancer and Thyroid Gland Cancer at Patient with Doubling Inferior Vena Cava and Renal Veins on Both Sides (Clinical Case)

2017 ◽  
pp. 36-43
Author(s):  
Yu. A. Stepanova ◽  
A. A. Teplov ◽  
M. V. Morozova ◽  
A. A. Gritskevich ◽  
S. S. Pyanikin ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Inferior Vena ◽  
Ex Vivo ◽  
Vena Cava ◽  
Cold Ischemia ◽  
Renal Veins ◽  
Multiple Primary ◽  
The Right

Renal cell carcinoma – the third on occurrence frequency tumor of urinogenital system and the most widespread renal tumor which makes about 2–3% of malignancies at adults. Doubling of inferior vena cava (IVC) is anomaly in case of which two inphrarenal segments of IVC are defined. Left IVC after lockin in it the left renal vein crosses an aorta in front, connects to the right renal vein and the right IVC. Combination of renal cell carcinoma and doubling IVC is rather seldom. The presented clinical case of a combination of renal cell carcinoma and doubling of IVC has the feature existence at the patient of metachronous multiple primary neoplasms that does necessary more careful inspection of the patient. Also a doubling of renal veins on both sides and a doubling of the left renal artery have been revealed. Possibilities of presurgical non-invasive diagnostics (ultrasonography and computer tomography) of retroperitoneal space vessels anomaly at the patient with transmural localization of kidney tumor allowing to plan and execute difficult surgery – an ex vivo resection of a left kidney in the conditions of pharmacological cold ischemia was shown. Performance of an ex vivo nephrectomy in the conditions of pharmacological cold ischemia allows to dilate indications to organ-preserving treatment of patients with the localized kidney cancer. However long cold ischemia and the subsequent vascular reconstruction demand dynamic observation over kidney’s functional conditions.

scholarly journals Spermatic Vein Tumor Thrombus In Renal Cell Carcinoma

2004 ◽  
Vol 4 ◽  
pp. 192-194 ◽  
Author(s):  
Nicola J. Mabjeesh ◽  
Yuval Bar-Yosef ◽  
Letizia Schreiber-Bramante ◽  
Issac Kaver ◽  
Haim Matzkin
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
English Literature ◽  
Vena Cava ◽  
Spermatic Vein ◽  
Renal Veins ◽  
The Right

Renal cell carcinoma has the tendency to form venous thrombi. This may involve the renal veins or the inferior vena cava and may extend cephalad/antegrade into the right atrium. We report a patient with renal cell carcinoma who had an intracaval tumor thrombus that had extended into the right spermatic vein. We believe this to be the first description in English literature of a histologically proven renal cell carcinoma thrombus in the spermatic vein.

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.

scholarly journals Early Detection of a Cavopulmonary Tumor Embolus with the Use of Transesophageal Echocardiography

2015 ◽  
Vol 42 (1) ◽  
pp. 66-69 ◽  
Author(s):  
Magdy M. El-Sayed Ahmed ◽  
Raed M. Al-Najjar ◽  
Muhammad Aftab ◽  
James M. Anton ◽  
John S. Colen ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Early Detection ◽  
Cell Carcinoma ◽  
Transesophageal Echocardiography ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
Tumor Embolization ◽  
Pulmonary Tumor ◽  
The Right

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.

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

scholarly journals Renal Cell Carcinoma presenting as a Right Atrial Mass

2014 ◽  
Vol 2 (2) ◽  
pp. 65-67
Author(s):  
Arun Subramanian ◽  
Minati Choudhary ◽  
Ujjwal Chowdhary
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
The Right

ABSTRACT Renal cell carcinoma (RCC) has a tendency to invade the renal vein and thereby reach the right heart through inferior vena cava (IVC). This may necessitate a combined surgical procedure usually under cardiopulmonary bypass (CPB). In the following discussion, we shall present a case of right RCC extending into the right atrium. The patient underwent a radical nephrectomy followed by removal of the tumor from right atrium, IVC and hepatic vein under CPB. How to cite this article Subramanian A, Choudhary M, Chowdhary U. Renal Cell Carcinoma presenting as a Right Atrial Mass. J Perioper Echocardiogr 2014;2(2):65-67

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