Surgical treatment of massive pulmonary thromboembolism due to renal cell carcinoma

Autor: Mehmet Emir Erol, Koray Ak, Fatih Öztürk, İlker Tinay, Sinan Arsan
Rok vydání: 2022
Předmět:
Zdroj: Turkish Journal of Thoracic and Cardiovascular Surgery. 30:440-443
ISSN: 2149-8156
1301-5680
DOI: 10.5606/tgkdc.dergisi.2022.22534
Popis: While renal cell carcinomas frequently invade the renal vein and inferior vena cava, the right atrial extension or formation of bilateral pulmonary massive embolism is quite unusual. A 65-year-old male patient underwent bilateral pulmonary tumor endarterectomy and total thrombectomy of the inferior vena cava combined with left nephrectomy under total circulatory arrest with antegrade cerebral perfusion. Both mediastinal and abdominal approaches facilitated the complete removal of the caval thrombus under the guidance of transesophageal echocardiography. The patient is still under follow-up for six months without metastasis. In conclusion, pulmonary thromboembolism due to renal cell carcinoma is rare, surgical treatment is possible.
Databáze: OpenAIRE