Surgical treatment of massive pulmonary thromboembolism due to renal cell carcinoma

Mehmet Emir Erol

doi:10.5606/tgkdc.dergisi.2022.22534

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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