Simultaneous nephrectomy, intracaval and right atrial tumor excision, caval patchplasty and coronary artery bypass grafting in patient with renal cell carcinoma

Abstract

The most common type of tumor occupying the inferior vena cava and extending to the right atrial cavity is renal cell carcinoma. Herein, we report a 54-year-old male patient with renal cell carcinoma with a tumor extending into the inferior vena cava and right atrium along with coronary artery disease. The patient successfully underwent simultaneous nephrectomy, intracaval and right atrial tumor excision, caval patchplasty and coronary artery bypass grafting under normothermic cardiopulmonary bypass without cross clamping or cardioplegic arrest. To the best of our knowledge, this is the first case reported in the literature in whom all the operations were performed simultaneously.

İntrakardiyak Kitleler

“…Localization of the intracardiac mass is also important. For example, the mass in the right atrium may originate directly from the atrium wall or may extend through the inferior vena cava and reach the right atrium (5). Especially in tumors such as renal cell CA and intravascular leiomyoma, the mass may extend into the right atrium via the venous route.…”