title: Combined Aortic Valve Replacement and Renal Cell Carcinoma Thrombectomy.
abstract: Although nephrectomy for renal cell carcinoma with inferior vena cava invasion is a common procedure, it is rare to have level IV invasion necessitating cardiopulmonary bypass (CPB). Furthermore, it is exceptionally rare to perform cardiac surgery concomitantly with this resection. We report a case in which an aortic valve replacement was done in the same surgical setting as a level IV thrombectomy. We have demonstrated that although it can be difficult to manage the coagulopathy post-CPB, this can be successfully accomplished with adequate prior preparation and a coordinated team effort.
authors.affiliation: 1 University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Martinelli
authors.affiliation: 1 University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Lobonc
authors.affiliation: 1 University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Wallen
authors.affiliation: 2 University of Toronto, Toronto, ON, Canada.
authors.forename: William E
authors.initials: WE
authors.lastname: Stansfield
authors.affiliation: 1 University of North Carolina, Chapel Hill, NC, USA.
authors.forename: J Patrick
authors.initials: JP
authors.lastname: Selph
authors.affiliation: 1 University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Calvo
authors.affiliation: 1 University of North Carolina, Chapel Hill, NC, USA.|3 Outcomes Research Consortium, Cleveland, OH, USA.
authors.forename: Priya A
authors.initials: PA
authors.lastname: Kumar
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000601:surgery; D002315:Cardiopulmonary Bypass / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D007668:Kidney / Q000601:surgery; D007680:Kidney Neoplasms / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery*
keywords: acute renal failure; aortic valve replacement; cardiopulmonary bypass; coagulopathy; intraoperative transesophageal echocardiography