Resection of atriocaval adrenal carcinoma using hypothermic circulatory arrest.
Carcinoma of the adrenal cortex may occasionally extend through the inferior vena cava to the right atrium without actually invading the vascular endothelium. Surgical resection may result in excellent palliation and the potential for prolonged survival when no other signs of advanced disease are present. Extrapolating from our experience with renal cell carcinoma extending to the right atrium, we resected a similar adrenocortical carcinoma using hypothermic circulatory arrest.
Shahian
D M
DM
Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Nieh
P T
PT
Libertino
J A
JA
D000306:Adrenal Cortex Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006324:Heart Arrest, Induced; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*