- Home
- Articles
-
10.5606/tgkdc.dergisi.2022.22534
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
Viewed : 2201
Downloaded : 529