Wilms Tumor with Intracardiac Neoplastic Extension

Pannek, J.; Goepel, Μ.; Kremens, Bernhard; T, Otto; Sadony, V.

doi:10.1159/000282629

Cited by 1 publication

(1 citation statement)

References 8 publications

(12 reference statements)

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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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