Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus.
Surgical management of malignant pheochromocytoma with tumor-induced venous obstruction involving the entrance to the right atrium is challenging. The risk of marked hypotension and hemodynamic instability following clamping of the vena cava is increased as a consequence of the sudden decrease in circulating catecholamines. The use of cardiac bypass, however is burdened with additional operating time and coagulopathy. The present report illustrates that veno-venous bypass is a valuable tool during resection of phenochromocytoma with a large vena caval tumor thrombus.
Waidelich
Raphaela
R
Department of Urology, University of Munich, Germany. Raphaela.Waidelich@uro.med.uni-muenchen.de
Weninger
Ernst
E
Denzlinger
Claudio
C
Müller-Lisse
Ulrike
U
Hofstetter
Alfons
A
Schmeller
Nikolaus
N
D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000601:surgery*; D000368:Aged; D005112:Extracorporeal Circulation / Q000379:methods*; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007601:Jugular Veins; D009360:Neoplastic Cells, Circulating; D010673:Pheochromocytoma / Q000473:pathology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*