Successful recovery from a massive pulmonary artery tumor embolism occurring during surgery for renal cell carcinoma.
We report herein on a case of renal cell carcinoma with retrohepatic inferior vena cava tumor thrombus in which intraoperative cardiac arrest from a massive pulmonary embolism was managed successfully with emergency sternotomy and cardiopulmonary bypass, followed by the removal of the primary site and pulmonary artery embolus.
Kobayashi
Takashi
T
Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan. selecao@remus.dti.ne.jp
Ogura
Keiji
K
Nishizawa
Koji
K
Muranaka
Hiroyuki
H
Ono
Hiroshi
H
Oda
Teiji
T
Matsumoto
Yumiko
Y
Ide
Yoshihiro
Y
D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery*; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018570:Risk Assessment; D017131:Thrombectomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology; D020246:Venous Thrombosis / Q000469:parasitology / Q000601:surgery*