Resection of right atrial tumor thrombi without circulatory arrest.
Resectable retroperitoneal tumors with right atrial tumor thrombus extension have been excised previously using cardiopulmonary bypass and deep hypothermic circulatory arrest. We have used a technique involving clamping of the descending aorta with avoidance of deep hypothermic circulatory arrest in 6 patients. The approach provided a virtually bloodless field and allowed complete resection to be performed with low morbidity.
Department of Surgery and Anesthesia, University of Ottawa Heart Institute and Ottawa Hospital, Ontario, Canada.
M
M
Ruel
P
P
Bedard
C G
CG
Morash
M
M
Hynes
G G
GG
Barber
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D005260:Female; D006324:Heart Arrest, Induced; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D009360:Neoplastic Cells, Circulating