Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium – Case report and brief review of the literature

Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium – Case report and brief review of the literature

Approximately 15% of cases of renal cell carcinoma (RCC) can invade the inferior vena cava, leading to the formation of a thrombus inside it, which can reach the cardiac chambers in up to 1% of cases. This article reports a case of RCC with venous thrombus that reached the right atrium. The patient...

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Bibliographic Details
Main Authors: Cyro Rezende Laghi, Bruno Costa do Prado, Germano de Freitas Dan, Gustavo Ruschi Bechara, Bruna Afonso Venturini, Claudio Ferreira Borges
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Urology Case Reports
Subjects:
Renal cell carcinoma
Caval thrombectomy
Right atrium thrombus
Hypothermic circulatory
Online Access:http://www.sciencedirect.com/science/article/pii/S221444202030440X
Description
Summary:Approximately 15% of cases of renal cell carcinoma (RCC) can invade the inferior vena cava, leading to the formation of a thrombus inside it, which can reach the cardiac chambers in up to 1% of cases. This article reports a case of RCC with venous thrombus that reached the right atrium. The patient underwent radical nephrectomy with lymphadenectomy and tumor thrombectomy with extracorporeal circulation associated with hypothermia, without total cardiac arrest. The surgical success of this case highlights the need to study new techniques that represent better operative approaches for solid kidney injuries.
ISSN:2214-4420

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