[Successful resection of a hypernephroma extending continuously into the right ventricle: utilization of extracorporeal circulation in general surgery].
We report the case of a 53-year-old woman with renal cell carcinoma extending into the inferior vena cava and through the tricuspid valve into the right ventricle. Successful total removal was performed with the aid of cardiopulmonary bypass. The rarity of this case prompted a review of the literature in which only the involvement of right atrium in this type of tumor was found. Review of our own experience with extracorporal circulation in non-cardiac procedures demonstrates that an aggressive therapeutic approach, requiring operations of escalating magnitude and multidisciplinary surgical treatment, can salvage patients who otherwise might not be considered for operation.
Département de chirurgie, Hôpital universitaire Zurich.
T
T
Carrel
R
R
Jenni
E R
ER
Schmid
C
C
Vorburger
F
F
Largiadèr
M
M
Turina
D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003952:Diagnostic Imaging; D005112:Extracorporeal Circulation; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D014682:Vena Cava, Inferior
Résection curative d'un hypernéphrome s'étendant par continuité jusque dans le ventricule droit: utilisation de la circulation extra-corporelle en chirurgie générale.