ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical treatment of massive pulmonary thromboembolism due to renal cell carcinoma
Mehmet Emir Erol1, Koray Ak2, Fatih Öztürk2, İlker Tinay3, Sinan Arsan2
1Department of Cardiovascular Surgery, Hitit University Faculty of Medicine, Çorum, Türkiye
2Department of Cardiovascular Surgery, Marmara University Pendik Training and Research Hospital, Istanbul, Türkiye
3Department of Urology, Marmara University Pendik Training and Research Hospital, Istanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2022.22534
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.
Keywords : Inferior vena cava, pulmonary embolism, renal cell carcinoma
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