Key result
Radical nephrectomy and tumor thrombectomy under DHCA successfully manages RV-extending renal sarcoma causing multi-organ failure.
Case Report (n=1)
Deep hypothermic circulatory arrest can be successfully used to manage complex renal tumors with extensive invasion into the inferior vena cava and right heart chambers.
Supports feasibility in rare renal tumors with cardiac extension; leaves open need for larger studies before broader adoption.
There has been an improvement in the prognosis of the tumor thrombi invading the inferior vena cava (IVC) and the right atrium (RA) of the renal cell carcinoma with radical nephrectomy and tumor thrombectomy with the aid of a cardiopulmonary byp ass. A 26 year old man was diag nosed with the right renal tumor with a tumor invading the right renal vein and the IVC above the right renal vein to the RA and right venticle. He was presented with dyspnea on the exertion, the ascites and the lower extremity edema due to IVC total obstruction. An acute hepatic failure occurred due to an obstruction of the hepatic vein. She received a radical nephrectomy and a removal of the tumor in the IVC and the right cardiac camber under a hypothermic total circulatory arrest using the cardiopulmonary bypass.
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Hee Jae Jun (2013) conducted a case report in Renal sarcoma with tumor extension into the inferior vena cava and right ventricle (n=1). Radical nephrectomy and tumor removal under deep hypothermic circulatory arrest was evaluated on Successful management of the tumor and multi-organ failure. Radical nephrectomy and tumor thrombectomy under deep hypothermic circulatory arrest successfully managed a renal sarcoma extending into the right ventricle and causing multi-organ failure.
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