title: Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus.
abstract: 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.
authors.affiliation: Department of Urology, University of Munich, Germany. Raphaela.Waidelich@uro.med.uni-muenchen.de
authors.forename: Raphaela
authors.initials: R
authors.lastname: Waidelich
authors.forename: Ernst
authors.initials: E
authors.lastname: Weninger
authors.forename: Claudio
authors.initials: C
authors.lastname: Denzlinger
authors.forename: Ulrike
authors.initials: U
authors.lastname: Müller-Lisse
authors.forename: Alfons
authors.initials: A
authors.lastname: Hofstetter
authors.forename: Nikolaus
authors.initials: N
authors.lastname: Schmeller
mesh_terms: 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*