scholarly journals Initial Presentation of Renal Cell Carcinoma as Heart Failure Secondary to Tumor-Thrombus Extension to the Right Atrium

Cureus ◽  
2021 ◽  
Author(s):  
Keshav R Patel ◽  
Dilpat Kumar ◽  
Jagadeesh K Kalavakunta ◽  
FNU Warsha
2010 ◽  
Vol 140 ◽  
pp. S76-S77
Author(s):  
Ugur Canpolat ◽  
Banu Evranos ◽  
Sercan Okutucu ◽  
Hikmet Yorgun ◽  
Ergun Baris Kaya ◽  
...  

2006 ◽  
Vol 119 (22) ◽  
pp. 1934-1936 ◽  
Author(s):  
Hai JIANG ◽  
Zhi-gen ZHANG ◽  
Zhao-dian CHEN ◽  
Shi-fang SHI ◽  
Song-liang CAI ◽  
...  

Author(s):  
Domenico Calcaterra ◽  
Thomas E. Collins ◽  
Joseph W. Turek ◽  
Kalpaj R. Parekh ◽  
Mohammad Bashir ◽  
...  

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.


2018 ◽  
Vol 19 (3) ◽  
pp. 142-144
Author(s):  
Pavel Žemla ◽  
Aleš Vidlář ◽  
Petr Šantavý ◽  
Vladimír Študent

1990 ◽  
Vol 5 (2) ◽  
pp. 123-127
Author(s):  
Shigeki Taniguchi ◽  
Soichiro Kitamura ◽  
Kanji Kawachi ◽  
Tsutomu Nishii ◽  
Masaaki Fukutomi ◽  
...  

2021 ◽  
Vol 35 ◽  
pp. 101551
Author(s):  
Cyro Rezende Laghi ◽  
Bruno Costa do Prado ◽  
Germano de Freitas Dan ◽  
Gustavo Ruschi Bechara ◽  
Bruna Afonso Venturini ◽  
...  

2006 ◽  
Vol 102 (2) ◽  
pp. 378-379 ◽  
Author(s):  
Christopher B. Komanapalli ◽  
Uttam Tripathy ◽  
Mitchell Sokoloff ◽  
Siamak Daneshmand ◽  
Asish Das ◽  
...  

2018 ◽  
Vol 36 (2) ◽  
pp. 77-79
Author(s):  
Syed Al Nahian ◽  
Sonjoy Biswas ◽  
Rezaul Hassan ◽  
M Zahid Hasan

Renal cell carcinoma (RCC) is the commonest primary tumor of the kidney which may invade through the renal vein into the inferior vena cava (IVC), and then it can extend intraluminally with subsequent tumor-thrombus formation. Here we report a case involving excision of a primary RCC with tumor-thrombus involving IVC up to right atrium with the use of extracorporeal circulation. Single stage surgical procedure was performed in collaboration with a urological team aiming complete resection of primary tumor, para-aortic lymphadenectomy and removal of IVC thrombus extending to right atrium with the help of cardiopulmonary bypass. After arresting heart, RA was opened and the mass was removed through RA from IVC and hepatic vein level. Abdominal IVC was opened and the entire residual mass was removed from below also small amount of thrombus removed from left renal vein. Postoperative venous doppler showed no residual thrombus in venous system. Histopathology report confirmed papillary renal cell carcinoma. The patient was discharged from hospital in the 12th post-operative day without any complication.J Bangladesh Coll Phys Surg 2018; 36(2): 77-79


2014 ◽  
Vol 96 (6) ◽  
pp. e18-e19 ◽  
Author(s):  
J George ◽  
K Grebenik ◽  
N Patel ◽  
D Cranston ◽  
S Westaby

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.


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