TRANSITIONAL CELL CARCINOMA AND RIGHT VENTRICULAR OBSTRUCTION
| Autor: | Ida Bergstrom, J. Justin Saporito, Walter L. Kemp, Martin Rothberg |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Urology Atrial Appendage Ventricular Outflow Obstruction Heart Neoplasms Cystectomy medicine.artery medicine Humans cardiovascular diseases Thrombus Carcinoma Transitional Cell business.industry Middle Aged medicine.disease Surgery Transitional cell carcinoma medicine.anatomical_structure Urinary Bladder Neoplasms Ventricle Pulmonary artery cardiovascular system Right axis deviation business |
| Zdroj: | The Journal of Urology. :1522-1523 |
| ISSN: | 0022-5347 |
| DOI: | 10.1097/00005392-199710000-00056 |
| Popis: | A 53-year-old man with a history of a T3bNOMX, grade IV papillary transitional cell carcinoma of the bladder presented with weight loss, swelling in both lower extremities and shortness of breath. The cancer was diagnosed 4 months previously and treated with cystectomy and urinary diversion. Examination revealed marked jugular venous distension, bilateral edema to the knees, decreased breath sounds and a systolic murmur. An electrocardiogram showed a right axis deviation. An echocardiogram showed a large thrombus occupying 904 of the right ventricle with extension into the right atrium and diminished flow through the pulmonary artery (fig. 1). Noninvasive lower extremity venous studies revealed a left femoral thrombus. The patient underwent sternotomy for resection of the thrombus to prevent a lethal pulmonary embolus. Inside the right atrium, a mass was found extending from the apex of the ventricle to the atrial appendage. A frozen section revealed anaplastic carcinoma. The patient underwent debulking of the mass, and a channel to the pulmonary artery was cored open. The patient was extubated 36 hours later. He eventually died of pulmonary dysfunction. Postmortem examination revealed metastatic poorly differentiated carci |
| Databáze: | OpenAIRE |
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