Repeat Sternotomy and Hypothermic Circulatory Arrest for Resection of Renal Cell Carcinoma with Tumour Thrombus Extension into the Right Atrium

Slimani, Eric; Lance, David

doi:10.1016/j.hlc.2007.10.020

Cited by 4 publications

(3 citation statements)

References 7 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There have been reports of two other patients having RCC and the presence of CAD ( 12 , 13 ), including one RCC case with TT extending into the RA in a patient with previous sternotomy ( 13 ), with good outcomes observed in both patients. Our patients were different in that we were able to remove the TT below and above diaphragm without CPB as previously described ( 9 , 10 ), and our surgeries were also successful.…”

Section: Discussionmentioning

confidence: 99%

Renal Cell Carcinoma With Inferior Vena Cava Tumor Thrombus in Two Patients With Previous Coronary Artery Bypass Graft: Strategy for Surgical Removal

2021

View full text Add to dashboard Cite

Surgical management of renal cell carcinoma (RCC) with tumor thrombus (TT) extending into the inferior vena cava (IVC) and up to the hepatic veins and right atrium (RA) continues to be problematic and a challenging surgical operation. It becomes even more complicated when performing a re-sternotomy and cardiopulmonary bypass (CPB) in patients with previous coronary artery bypass grafting (CABG). Here, we report on two patients with previous CABG who presented with RCC and TT extending into the hepatic vein and above the diaphragm. These two patients underwent successful surgical resection and TT thrombectomy without the need of CBP. Recommendations are made for successfully accomplishing such surgical resections, including adequate prior preparation for the possible need to perform re-sternotomy and CPB with a coordinated team effort.

show abstract

Section: Discussionmentioning

confidence: 99%

Renal Cell Carcinoma With Inferior Vena Cava Tumor Thrombus in Two Patients With Previous Coronary Artery Bypass Graft: Strategy for Surgical Removal

2021

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Complete removal of the malignant renal tissue is the only curative option for the individual patient since medical therapy is not curative. [4] In general, the prognosis for patients with metastatic renal tumors is poor. Hatcher et al [5] showed a mean five-year survival of 69% after complete resection.…”

Section: Discussionmentioning

confidence: 99%

“…Respiratory and heart failure, sepsis, renal failure, bleeding, acute dementia, and pulmonary emboli were the most frequently seen complications after surgery. [1][2][3][4][5][6][7][8] These factors are also determinants of the mortality and morbidity in the early postoperative period. An abdominal bilateral subcostal incision and thoracotomy are needed, especially in left renal tumors reaching up to the atrium.…”

Section: Discussionmentioning

confidence: 99%

A different approach in the treatment of left renal cell carcinoma with tumor thrombus extension into the vena cava inferior

Gedik¹

2012

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Bu yazıda, tümör trombüsü adı verilen intrakaval neoplastik uzantıya sahip ve iki taraflı subkostal insizyon (Chevron tekniği) yerine, radikal nefrektomi ve tümör ekstirpasyonunda kullanılan sol subkostal (hemi-Chevron) abdominal insizyon ile tedavi edilmiş ilerlemiş bir renal tümör olgusu sunuldu. Anah tar söz cük ler: Renal hücreli karsinom; subkostal kesi; tümör trombüsü. In this article, we report a case of advanced renal tumor with intracaval neoplastic extension, known as tumor thrombus treated with left subcostal (hemi-Chevron) abdominal incision instead of bilateral subcostal incision (Chevron technique), which is used for radical nefrectomy and tumor extirpation.

show abstract

Anesthetic Management of Successful Resection of Hepatocellular Carcinoma with Tumor Thrombus Extending into Right Atrium under Cardiopulmonary Bypass and Deep Hypothermic Circulatory Arrest without Median Sternotomy

Ito¹,

Tohi²,

Uchida³

2013

JJSCA

View full text Add to dashboard Cite

A 66-year-old man presented with a hepatocellular carcinoma with a tumor thrombus extending into the right atrium and was scheduled for en bloc hepatectomy and resection of the thrombus under cardiopulmonary bypass (CPB) . The patient had previously undergone a coronary artery bypass graft, and we were concerned that there was a risk of accidental dissection of mediastinal adhesions or the bypass graft itself. We therefore decided to operate under cardiopulmonary bypass and deep hypothermic circulatory arrest without redoing a midline median sternotomy. The surgery was successfully performed. Echocardiography was employed intraoperatively to monitor the movement of the tumor thrombus in the right atrium and position of the venous cannulae for the CPB and central venous catheter. The post-operative course was uneventful.

show abstract

Repeat Sternotomy and Hypothermic Circulatory Arrest for Resection of Renal Cell Carcinoma with Tumour Thrombus Extension into the Right Atrium

Cited by 4 publications

References 7 publications

Renal Cell Carcinoma With Inferior Vena Cava Tumor Thrombus in Two Patients With Previous Coronary Artery Bypass Graft: Strategy for Surgical Removal

Renal Cell Carcinoma With Inferior Vena Cava Tumor Thrombus in Two Patients With Previous Coronary Artery Bypass Graft: Strategy for Surgical Removal

A different approach in the treatment of left renal cell carcinoma with tumor thrombus extension into the vena cava inferior

Anesthetic Management of Successful Resection of Hepatocellular Carcinoma with Tumor Thrombus Extending into Right Atrium under Cardiopulmonary Bypass and Deep Hypothermic Circulatory Arrest without Median Sternotomy

Contact Info

Product

Resources

About