Malignant Thrombi of Inferior Vena Cava from Renal Cell Carcinoma: 4 cases reports.
- Author:
Jong Myun HONG
1
;
Oh Gon KIM
;
Suk Jae LEE
;
Yoon Woo ROH
;
Jo Han LEE
;
Jang Soo HONG
;
Won Jae KIM
;
Seung Woon LIM
;
Jae Ho AHNN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chungbuk National University Hospital, Korea. Jmhong@med.chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Renal neoplasm;
Vena cava;
inferior;
Circulatory arrest;
induced
- MeSH:
Carcinoma, Renal Cell*;
Cardiopulmonary Bypass;
Hepatic Veins;
Humans;
Kidney Neoplasms;
Thrombectomy;
Vena Cava, Inferior*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(11):1097-1101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal cell carcinoma involves the inferior vena cava (IVC) in approximately 5-10% of the patients. Presently surgical extirpation is the only form of therapy that can result in cure. Circulatory arrest with cardiopulmonary bypass is an operative technique that recently has been used to assist in resection of tumors that extend into the vena cava above the level of hepatic veins. We performed removal of tumor thrombi of IVC in 4 patients. All of them who had the renal cell carcinormas with infrahepatic vena caval extension were performed by standard surgical technique without cardiopulmonary bypass. But in one patient, inferior vena caval thrombectomy was done using circulatory arrest because of the recurred extension of the tumor thrombi within the vena cava above the insertion of the hepatic vein. All patients were recovered without any significant problems.
