A Successful Management of the Renal Sarcoma with an Extension of the Tumor into the Inferior Vena Cava and the Right Ventricle Progressing Multi-Organ Failure Using a Deep Hypothermic Circulatory Arrest.
10.5758/kjves.2013.29.4.147
- Author:
Hee Jae JUN
1
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Busan, Korea. cs523@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Kidney neoplasms;
Sarcoma;
Vena cava;
Inferior
- MeSH:
Ascites;
Carcinoma, Renal Cell;
Cardiopulmonary Bypass;
Circulatory Arrest, Deep Hypothermia Induced*;
Dyspnea;
Edema;
Heart Atria;
Heart Ventricles*;
Hepatic Veins;
Kidney Neoplasms;
Liver Failure, Acute;
Lower Extremity;
Nephrectomy;
Prognosis;
Renal Veins;
Sarcoma*;
Thrombectomy;
Vena Cava, Inferior*
- From:Journal of the Korean Society for Vascular Surgery
2013;29(4):147-150
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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 bypass. A 26 year old man was diagnosed 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.
