Anesth Pain Med.  2010 Jan;5(1):60-63.

Anesthetic management of renal cell carcinoma that extended into the right atrium through the inferior vena cava: A case report

• Kim YK
• Lee YK
• Lee JH
• Choi SS
• Hahm KD
• Hwang JH

Abstract

Renal cell carcinoma (RCC) rarely extends to the cardiac chambers, and the presence of an extension of tumor thrombus to the inferior vena cava or the right atrium has not been shown to determine the survival of patients with RCC.Although an aggressive surgical approach remains the primary treatment for RCC, the anesthetic management remains a difficult intraoperative challenge.We report here on a case of performing cavoatrial tumor thrombectomy and radical nephrectomy in a patient with RCC with an intracardiac extension, and we used cardiopulmonary bypass and intraoperative trans-esophageal echocardiography to assess and treat this tumor.

Keyword

Cardiopulmonary bypass; Cavoatrial thrombectomy; Intracardiac tumor extension; Renal cell carcinoma; Trans-esophageal echocardiography

MeSH Terms

Carcinoma, Renal Cell
Cardiopulmonary Bypass
Echocardiography
Heart Atria
Humans
Nephrectomy
Thrombectomy
Thrombosis
Vena Cava, Inferior