Cavoatrial tumor thrombectomy with systemic circulatory arrest and antegrade cerebral perfusion.
Renal carcinoma extending into the inferior vena cava can be excised with a good early-term and long-term prognosis. Cardiopulmonary bypass and deep hypothermic circulatory arrest are used to resect intracardiac extension of the tumor. We propose antegrade selective cerebral and cardiac perfusion associated with systemic circulatory arrest to protect the brain and the abdominal viscera while obtaining a bloodless surgical field for tumor thrombus removal.
Mazzola
Alessandro
A
Department of Cardiac Surgery, Giuseppe Mazzini Hospital, Teramo, Italy. sandromaz@tin.it
Gregorini
Renato
R
Villani
Carmine
C
Colantonio
Laura B
LB
Giancola
Raffaele
R
Gravina
Giovanni L
GL
Vicentini
Carlo
C
D002545:Brain Ischemia / Q000517:prevention & control; D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods; D010477:Perfusion / Q000379:methods; D018570:Risk Assessment; D017131:Thrombectomy / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery