Key result
Emergency sternotomy and CPB rescue intraoperative cardiac arrest from massive PA tumor embolism during RCC surgery.
Why the study?
Management strategies for intraoperative cardiac arrest due to massive pulmonary artery tumor embolism in renal cell carcinoma with vena cava thrombus are not well established.
Emergency sternotomy and cardiopulmonary bypass can be a successful rescue strategy for intraoperative massive pulmonary tumor embolism during renal cell carcinoma surgery.
May inform rescue planning in high-risk RCC surgery; leaves open need for prospective data on incidence and outcomes.
We report herein on a case of renal cell carcinoma with retrohepatic inferior vena cava tumor thrombus in which intraoperative cardiac arrest from a massive pulmonary embolism was managed successfully with emergency sternotomy and cardiopulmonary bypass, followed by the removal of the primary site and pulmonary artery embolus.
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Kobayashi et al. (2004) studied this question. Emergency sternotomy and cardiopulmonary bypass successfully managed intraoperative cardiac arrest from a massive pulmonary artery tumor embolism during renal cell carcinoma surgery.
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