| Title | Transesophageal echocardiography in the surgical management of renal cell carcinoma with intracardiac extension. |
| Author(s) | Allen G, Klingman R, Ferraris VA, Fisher H, Harte F, Singh A |
| Institution | Division of Cardiothoracic Surgery, Albany Medical College, New York. |
| Source | J Cardiovasc Surg (Torino) 1991 Nov-Dec; 32(6):833-6. |
| MeSH | Carcinoma, Renal Cell
Echocardiography
Heart Atria
Heart Neoplasms
Humans
Kidney Neoplasms
Male
Middle Aged
Neoplasm Circulating Cells
Vena Cava, Inferior
|
| Abstract | Renal cell carcinomas may extend into the vena cava and the tumor thrombus occasionally involves the right atrium. The operative approach depends upon precise preoperative and intraoperative staging and thrombus localization. We report a case of renal cell carcinoma with complete inferior vena caval and hepatic vein occlusion with tumor extension into the right atrium. Preoperatively, transesophageal echocardiography provided superior images of the tumor and its extension, and intraoperatively allowed continuous monitoring of cardiac function and the removal of tumor from the atrium and inferior vena cava. Its use obviated the need for more costly and invasive preoperative and intraoperative procedures. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 1752908 |
