Key result
A 55-year-old female with renal cell carcinoma and intra-atrial tumour thrombus was successfully managed with open right radical nephrectomy and IVC thrombectomy under cardiopulmonary bypass.
Why the study?
Renal cell cancer with intravascular tumour thrombus extending to the right atrium is rare and complex, requiring a multidisciplinary approach.
Case Report (n=1)
Highlights the necessity of a multidisciplinary approach involving cardiologists and vascular surgeons for the complex management of renal cell carcinoma with intra-atrial tumour thrombus.
Feasibility shown for cardiopulmonary bypass-assisted resection in select renal cell carcinoma with atrial thrombus; leaves open questions on safety, selection, and outcomes.
Renal cell cancer (RCC) is at times associated with intravascular tumour thrombus (TT), which in rare cases can extend to the right atrium. The management of RCC with intravascular tumour thrombus is complex and requires a multidisciplinary approach involving urologists, vascular surgeons, and cardiologists. The pre-operative workup is extensive and includes imaging studies to determine the extent of the tumour thrombus and assess the patient's overall health status. Here, we present a case report detailing the operative and perioperative management of a patient presenting with renal cell cancer and intravascular TT.
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Alam et al. (2023) conducted a case report in Renal cell carcinoma with intra-atrial tumour thrombus (n=1). Open right radical nephrectomy with IVC thrombectomy and retrieval of atrial thrombus under cardiac bypass was evaluated on Surgical outcome and postoperative recovery. A 55-year-old female with renal cell carcinoma and intra-atrial tumour thrombus was successfully managed with open right radical nephrectomy and IVC thrombectomy under cardiopulmonary bypass.
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