Revista Cubana de Cirugía
On-line version ISSN 1561-2945
VILLAR INCLAN, Alejandro et al. Resection of a left renal carcinoma with thrombotic extension to right atrium. Rev Cubana Cir [online]. 2010, vol.49, n.3, pp. 0-0. ISSN 1561-2945.
This is the male case aged 59 diagnosed with left hypernephroma and thrombosis of the inferior vena cava with extension to right atrium. A multidisciplinary staff performed a left radical nephrectomy, exposition of inferior vena cava using the piggyback technique, right atriotomy and inferior cavotomy for extension of thrombus and previous clamping of right renal vein and hepatic hilus. The total surgical time was of 7 hours and 30 minutes. The procedure was performed under general anesthesia and a minimal period of cardiopulmonary shunt. Standardized transoperative monitoring of vital parameters was used and also transesophageal echocardiography to detect the total removal of thrombus and its extraction, as well as the potential detached emboli. The transoperative and postoperative course was satisfactory. A review of the international medical literature on this subject was made offering conclusions.
Keywords : Renal carcinoma; inferior vena cava; thrombosis.