title: [Use of the heart-lung machine in extra-cardial carcinoma surgery].
abstract: The employment of the heart-lung machine to assisting the circulatory system for the resection of extracardial tumors is increasing because of their location, growth and infiltration. We report on three patients in whom the resection of the tumor was only possible with extracorporeal circulation (ECC). In the first patient sarcoma of the pulmonary artery and valve was resected under ECC. Artery and valve were replaced with a cryo-preserved valved bifurcation homograft. In the other patients ECC was used on the basis of tumorinfiltration of the inferior vena cava and tumor embolus of the pulmonary artery in a case of primary renal cell carcinoma, and tumor infiltration of the superior vena cava and right atrium in a case of follicular thyroid carcinoma. All patients had a good postoperative course and excellent long term survival.
authors.affiliation: Klinik und Poliklinik für Herz- und Thoraxchirurgie, Martin-Luther-Universität Halle-Wittenberg.
authors.forename: H S
authors.initials: HS
authors.lastname: Hofmann
authors.forename: M
authors.initials: M
authors.lastname: Herrmann
authors.forename: P N
authors.initials: PN
authors.lastname: Nguyen Thanh
authors.forename: H
authors.initials: H
authors.lastname: Dralle
authors.forename: R E
authors.initials: RE
authors.lastname: Silber
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D000328:Adult; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D006355:Heart-Lung Machine; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery; D011664:Pulmonary Valve / Q000473:pathology / Q000601:surgery; D013899:Thoracic Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000601:surgery; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery; D014683:Vena Cava, Superior / Q000473:pathology / Q000601:surgery
vernacular_title: Einsatz der Herz-Lungen-Maschine in der extrakardialen Carcinomchirurgie.