Korean J Vasc Endovasc Surg.  2013 Nov;29(4):147-150. 10.5758/kjves.2013.29.4.147.

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

• Jun HJ

• KMID: 1875536
• DOI: http://doi.org/10.5758/kjves.2013.29.4.147

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.

Keyword

Kidney neoplasms; Sarcoma; Vena cava; Inferior

MeSH Terms

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*