Intracaval neoplastic extension of renal cell carcinoma to the right atrium has been reported in 14-39% of the patients with carcinoma involving the vena cava. We report a case of 44-year-old woman hospitalized with intermittent vomiting and presented with evidence of renal cell carcinoma extending into the inferior vena cava and right atrium on CF and MRI. We successfully managed renal cell carcinoma surgically extending into the right atrium using hypothermia and circulatory arrest.
Adult ; Carcinoma, Renal Cell* ; Female ; Heart Atria* ; Humans ; Hypothermia* ; Magnetic Resonance Imaging ; Vena Cava, Inferior* ; Vomiting