title: Thrombi migration to atrium diagnosed by transesophageal echocardiography.
abstract: Two days before surgery in a 70-year-old man with renal cell carcinoma, transthoracic echocardiography showed a dense mass in the inferior vena cava, lying proximally, but no mass was observed in the right atrium. Intraoperative transesophageal echocardiography revealed unexpected tumor thrombi in the right atrium, and the surgical plan was changed. This case highlights the importance of intraoperative transesophageal echocardiography in patients with renal cell carcinoma.
authors.affiliation: Department of Anesthesiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara.
authors.forename: Özcan
authors.initials: Ö
authors.lastname: Erdemli
authors.forename: Asli
authors.initials: A
authors.lastname: Demir
authors.forename: Çiğdem Yildirim
authors.initials: ÇY
authors.lastname: Güçlü
authors.forename: Ümit
authors.initials: Ü
authors.lastname: Karadeniz
authors.forename: Kerim
authors.initials: K
authors.lastname: Çağli
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002315:Cardiopulmonary Bypass; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007430:Intraoperative Care; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D009392:Nephrectomy; D011237:Predictive Value of Tests; D017131:Thrombectomy; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery
keywords: Renal cell carcinoma; inferior vena cava; thrombectomy; transesophageal echocardiography; venous thrombosis