Key result
En bloc surgical resection of a massive renal cell carcinoma and tumor thrombus extending into the right atrium was successfully performed using cardiopulmonary bypass without deep hypothermic circulatory arrest, with no major post-operative complications.
Why the study?
Renal cell carcinoma with cavoatrial involvement is a major surgical challenge, and substantial controversy persists regarding the best operative management due to small patient numbers and limited follow-up.
Population
A 54-year-old woman with renal cell carcinoma invading the IVC and right atrium
Design
Case report
Authors
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Case report supports feasibility of cavoatrial RCC resection; leaves open optimal surgical strategy.
Case Report (n=1)
No
Renal cell carcinoma can present atypically as a right atrial mass detected by echocardiography, requiring complex but feasible surgical management.
Kaçani et al. (2022) conducted a case report in Renal cell carcinoma with inferior vena cava and right atrium tumor thrombus (n=1). Surgical resection with cardiopulmonary bypass was evaluated on Surgical success and post-operative complications. En bloc surgical resection of a massive renal cell carcinoma and tumor thrombus extending into the right atrium was successfully performed using cardiopulmonary bypass without deep hypothermic circulatory arrest, with no major post-operative complications.
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