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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술대회자료
- 저자정보
- 발행연도
- 2021.6
- 수록면
- 217 - 217 (1page)
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초록· 키워드
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Background/Aims
Renal cell carcinoma has a biological tendency towards intravascular thrombosis of renal vein extending into the inferior vena cava (IVC) in 4-10% cases and in 1% of cases reaching up to the right atrium. The presence of tumor thrombus in IVC without distant metastasis and nodal metastasis doesn’t modify the overall survival when total resection of tumor with thrombus is done. We herein describe a case of grade four IVC thrombus managed with cardiopulmonary bypass.
Methods
A 49 year old male with good performance status presented with breathlessness and weight loss of 6 weeks duration. Contrast enhanced CT scan was showed 7.3 x 7 x 7.7 cm heterogeneously enhancing large left renal mass extending into the perinephric space with tumour thrombus in left renal vein extending into the IVC and right atrium. Magnetic resonance imaging with venogram confirmed the extent of tumor thrombus into right atrium with no venous wall invasion and a bland thrombus in infra-renal segment of IVC till bifurcation. 2D Echo confirmed 4x4cm right atrial tumor thrombus. Imaging did not suggest any distant metastases.
Results
Surgical steps –
In the perioperative period, two wide bore intravenous lines, central venous line in right IJV and an arterial line were secured for monitoring. Transesophageal 2D echo confirmed 4x4cm right atrial thrombus. TEE ^_@span style=color:#999999 ^_# ... ^_@/span^_#^_@a href=javascript:; onclick=onClickReadNode('NODE10593516');fn_statistics('Z354','null','null'); style='color:#999999;font-size:14px;text-decoration:underline;' ^_#전체 초록 보기^_@/a^_#
Renal cell carcinoma has a biological tendency towards intravascular thrombosis of renal vein extending into the inferior vena cava (IVC) in 4-10% cases and in 1% of cases reaching up to the right atrium. The presence of tumor thrombus in IVC without distant metastasis and nodal metastasis doesn’t modify the overall survival when total resection of tumor with thrombus is done. We herein describe a case of grade four IVC thrombus managed with cardiopulmonary bypass.
Methods
A 49 year old male with good performance status presented with breathlessness and weight loss of 6 weeks duration. Contrast enhanced CT scan was showed 7.3 x 7 x 7.7 cm heterogeneously enhancing large left renal mass extending into the perinephric space with tumour thrombus in left renal vein extending into the IVC and right atrium. Magnetic resonance imaging with venogram confirmed the extent of tumor thrombus into right atrium with no venous wall invasion and a bland thrombus in infra-renal segment of IVC till bifurcation. 2D Echo confirmed 4x4cm right atrial tumor thrombus. Imaging did not suggest any distant metastases.
Results
Surgical steps –
In the perioperative period, two wide bore intravenous lines, central venous line in right IJV and an arterial line were secured for monitoring. Transesophageal 2D echo confirmed 4x4cm right atrial thrombus. TEE ^_@span style=color:#999999 ^_# ... ^_@/span^_#^_@a href=javascript:; onclick=onClickReadNode('NODE10593516');fn_statistics('Z354','null','null'); style='color:#999999;font-size:14px;text-decoration:underline;' ^_#전체 초록 보기^_@/a^_#
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UCI(KEPA) : I410-ECN-0101-2021-514-001919869