Unusual surgical approach to the treatment of renal cell carcinoma extending into the right atrium through the inferior vena cava.
We report an unusual surgical management of renal cell carcinoma with inferior vena cava and right atrial thrombosis. Successful management is dependent upon preoperative assessment to determine the extent of the disease, tumor thrombi has not infiltrated the walls of the vena cava, and a well planned surgical resection.
Department of Urology, Hospital Clinic, Barcelona, Spain. pmanasia8@iol.it
Pasqualino
P
Manasia
Antonio
A
Alcaraz
Giannantonio
G
Manasia
Francesco
F
Micali
Juan
J
Alcover
D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D009392:Nephrectomy; D013525:Surgical Instruments; D019043:Vascular Neoplasms / Q000556:secondary* / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery; D016748:Venous Cutdown / Q000295:instrumentation / Q000379:methods*