title: Endovascular Removal of Intracardiac Thrombus Prior to Radical Nephrectomy and Inferior Vena Cava Thrombectomy.
abstract: We report a case of a 54-year-old patient with a T3c renal mass with intracardiac extension of the thrombus to the level of the pulmonary valve. The patient was not a candidate for cardiopulmonary bypass due to recent pulmonary embolism. Under transesophageal echocardiogram guidance, the intracardiac thrombus was removed percutaneously via transvenous mechanical thrombectomy. The patient was effectively downstaged to T3b and underwent successful radical nephrectomy and inferior vena cava thrombectomy without the use of cardiopulmonary bypass.
authors.affiliation: Institute of Urology, Lahey Hospital & Medical Center, Burlington, MA. Electronic address: drew.a.palmer@lahey.org.
authors.forename: Drew A
authors.initials: DA
authors.lastname: Palmer
authors.affiliation: Institute of Urology, Lahey Hospital & Medical Center, Burlington, MA.
authors.forename: John E
authors.initials: JE
authors.lastname: Humphrey
authors.affiliation: Institute of Urology, Lahey Hospital & Medical Center, Burlington, MA.
authors.forename: Ariel
authors.initials: A
authors.lastname: Fredrick
authors.affiliation: Department of Cardiovascular Medicine, Lahey Hospital & Medical Center, Burlington, MA.
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Piemonte
authors.affiliation: Institute of Urology, Lahey Hospital & Medical Center, Burlington, MA.
authors.forename: John A
authors.initials: JA
authors.lastname: Libertino
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery*; D057510:Endovascular Procedures; D006338:Heart Neoplasms / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D009392:Nephrectomy; D011300:Preoperative Care; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000601:surgery*; D014682:Vena Cava, Inferior