Use of Dynamic Two-Dimensional Transesophageal Echocardiography for Renal Cell Carcinoma with Cavoatrial Tumor Thrombus

Eyre, Robert C.; Hurley, Liam J.; Burger, Andrew J.; Lewis, Keith P.

doi:10.1159/000282706

Cited by 11 publications

(4 citation statements)

References 12 publications

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“…There are many publications on the preoperative and intraoperative use of TEE in patients with RCC invading the IVC. [12][13][14][15][16][17][18] There are several advantages of using TEE during the surgical management of RCC invading the IVC. In the present case, the anterior extent of the thrombus was accurately localized closer to the right atrium than, as detected by MRI.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of renal cavoatrial tumor thrombus during partial cardiopulmonary bypass

Bektaş¹

2018

Turk Gogus Kalp Dama

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Elli sekiz yaşında erkek hastada kardiyopulmoner baypas sırasında dolaşım arresti olmaksızın kavoatriyal trombus ve renal tümörlerin cerrahi olarak çıkarılması planlandı. Ameliyat süresince transözofageal ekokardiyografi ile pulmoner emboli açısından sürekli takip yapıldı. Ameliyat anesteziyoloji uzmanları, üroloji uzmanları ve kalp damar ve gastrointestinal cerrahlarından oluşan multidisipliner bir ekip tarafından başarıyla gerçekleştirildi. Bu olgu, kavoatriyal trombüslü renal hücreli karsinom hastalarında anestezi yönetiminin önemini göstermektedir. Anah tar söz cük ler: Anestezi yönetimi; kavoatriyal trombus; transözofageal ekokardiyografi.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of renal cavoatrial tumor thrombus during partial cardiopulmonary bypass

Bektaş¹

2018

Turk Gogus Kalp Dama

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“…Trendelenburg position resulted in migration of the thrombus away from TV, resulting in some improvement in hemodynamics, and given enough time to go on emergency CPB. The importance of intra-operative TEE in such surgeries is clearly supported[ 1 6 8 9 10 11 12 13 14 15 ] in medical literature and apart from helping in diagnosing thrombus embolization, TEE also helps in performing a comprehensive evaluation of residual thrombus if present after surgery. [ 1 ]…”

Section: Discussionmentioning

confidence: 99%

Management of acute intra-operative thromboembolism in renal cell carcinoma

et al. 2015

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Renal cell carcinoma (RCC) is the most common malignant tumor of the kidney and has got association with inferior vena cava (IVC) extension in 5–10% of the patients. In this case report, we present a case of a 22-year- young female who was posted for radical nephrectomy and tumor thrombectomy to remove the thrombus extending up to IVC- right atrium junction. The surgical procedure was complicated by intraoperative thromboembolism during tumour manipulation. Continual Trans esophageal monitoring helps in early diagnosis of thromembolic event. Immediate diagnosis and awareness of clinical management in such circumstances contribute to a decrease in the associated morbidity and mortality.

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“…Renal tumors, such as nephroblastoma, clear cell sarcoma, 27,28 and renal cell carcinoma sometimes extend into the IVC, the hepatic vein, and the right side of the heart, because their drainage veins connect to the IVC. Several cases of intracaval or intracardiac extension of renal tumors have been reported, 12,[28][29][30][31][32][33][34] and renal tumors with intraatrial extension or hepatic vein obstruction (i.e., Budd-Chiari syndrome) may require emergent surgical treatment to avoid the fatal tricuspid obstruction, pulmonary embolization or acute hepatic failure. 28 Despite invasion of the IVC wall, our patient is free of disease 2 years after the operation.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment for transvenous tumor extension into the heart: Four cases

Tsuji¹,

Yamashita²,

Wakiyama³

et al. 1998

Journal of Vascular Surgery

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From 1984 to 1996, four patients with transvenous intracardiac tumor extension underwent operations in the Kobe University Hospital. The primary tumors of two were intravenous leiomyomatoses originating from the uterus; a third patient had invasive thymoma, and the fourth patient had clear cell sarcoma of the kidney. In 1985, one patient had a curative, staged resection. One-stage operations were carried out in three patients, and all intracardiac tumors were successfully resected en bloc with the primary tumors under conditions of electrical ventricular fibrillation and mild hypothermia. Combined venous reconstructions were necessary for en bloc resection in three cases. Two patients with malignancy received postoperative chemoradiotherapy, and all four patients were discharged uneventfully from our hospital. We consider radical resection with curative intent only for patients with tumors extending into the heart. In these cases, a one-stage operation is preferable, and electrical ventricular fibrillation with mild hypothermia is a recommended method of circulatory assist because of its simplicity.

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Use of Dynamic Two-Dimensional Transesophageal Echocardiography for Renal Cell Carcinoma with Cavoatrial Tumor Thrombus

Cited by 11 publications

References 12 publications

Anesthetic management of renal cavoatrial tumor thrombus during partial cardiopulmonary bypass

Anesthetic management of renal cavoatrial tumor thrombus during partial cardiopulmonary bypass

Management of acute intra-operative thromboembolism in renal cell carcinoma

Surgical treatment for transvenous tumor extension into the heart: Four cases

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