Korean J Thorac Cardiovasc Surg.  1998 Nov;31(11):1097-1101.

Malignant Thrombi of Inferior Vena Cava from Renal Cell Carcinoma: 4 cases reports

• Hong JM
• Kim OG
• Lee SJ
• Roh YW
• Lee JH
• Hong JS
• Kim WJ
• Lim SW
• Ahnn JH

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.

Keyword

Renal neoplasm; Vena cava; inferior; Circulatory arrest; induced

MeSH Terms

Carcinoma, Renal Cell*
Cardiopulmonary Bypass
Hepatic Veins
Humans
Kidney Neoplasms
Thrombectomy
Vena Cava, Inferior*