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Laghi CR, Costa do Prado B, de Freitas Dan G, et al. Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature. Urol Case Rep. 2020;35:101551doi: 10.1016/j.eucr.2020.101551.
Laghi, C. R., Costa do Prado, B., de Freitas Dan, G., Bechara, G. R., Venturini, B. A., & Borges, C. F. (2021). Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature. Urology case reports, 35101551. https://doi.org/10.1016/j.eucr.2020.101551
Laghi, Cyro Rezende, et al. "Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature." Urology case reports vol. 35 (2021): 101551. doi: https://doi.org/10.1016/j.eucr.2020.101551
Laghi CR, Costa do Prado B, de Freitas Dan G, Bechara GR, Venturini BA, Borges CF. Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature. Urol Case Rep. 2020 Dec 29;35:101551. doi: 10.1016/j.eucr.2020.101551. eCollection 2021 Mar. PMID: 33437645; PMCID: PMC7787942.
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Urol Case Rep. 2020 Dec 29;35:101551. doi: 10.1016/j.eucr.2020.101551. eCollection 2021 Mar.

Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature.

Urology case reports

Cyro Rezende Laghi, Bruno Costa do Prado, Germano de Freitas Dan, Gustavo Ruschi Bechara, Bruna Afonso Venturini, Claudio Ferreira Borges

Affiliations

  1. Department of Urology, Federal University of Espírito Santo (UFES), Vitória, ES, Brazil.

PMID: 33437645 PMCID: PMC7787942 DOI: 10.1016/j.eucr.2020.101551

Abstract

Approximately 15% of cases of renal cell carcinoma (RCC) can invade the inferior vena cava, leading to the formation of a thrombus inside it, which can reach the cardiac chambers in up to 1% of cases. This article reports a case of RCC with venous thrombus that reached the right atrium. The patient underwent radical nephrectomy with lymphadenectomy and tumor thrombectomy with extracorporeal circulation associated with hypothermia, without total cardiac arrest. The surgical success of this case highlights the need to study new techniques that represent better operative approaches for solid kidney injuries.

© 2020 Published by Elsevier Inc.

Keywords: Caval thrombectomy; Hypothermic circulatory; Renal cell carcinoma; Right atrium thrombus

References

  1. Ann Thorac Surg. 2016 Mar;101(3):1213-21 - PubMed
  2. J Vasc Surg Venous Lymphat Disord. 2017 May;5(3):430-436 - PubMed
  3. Eur J Cancer. 2018 Nov;103:356-387 - PubMed

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