title: Renal cell carcinoma presenting as right atrial tumor with successful removal using cardiopulmonary bypass.
abstract: A 58-year-old male presented with signs and symptoms of right sided heart failure. Diagnostic evaluation revealed a right renal cell carcinoma with extension into the vena cava and right atrium. Surgical management included radical right nephrectomy with retroperitoneal lymph node dissection, inferior vena caval resection, and removal of the intra-atrial tumor thrombus using a cardiopulmonary bypass. Two years after surgery the patient is alive and well with no evidence of recurrent disease.
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D003937:Diagnosis, Differential; D004452:Echocardiography; D005112:Extracorporeal Circulation; D006333:Heart Failure / Q000175:diagnosis; D006338:Heart Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007022:Hypotension / Q000150:complications; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010690:Phlebography; D011877:Radionuclide Imaging; D013924:Thrombophlebitis / Q000209:etiology* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000601:surgery; D014693:Ventricular Fibrillation / Q000209:etiology