Portal de Periódicos da CAPES

Surgical approach to renal cell carcinoma extending into the right atrium through the inferior vena cava.

1985; National Institutes of Health; Volume: 70; Issue: 2 Linguagem: Inglês

A Puglionisi, Aurelio Picciocchi, G Lemmo, F Intonti, P Breccia, P Falappa, R Schiavello,

Renal and Vascular Pathologies

Successful management of a patient with an intracardiac tumor thrombus of renal carcinoma is described. This case and a few others in the literature have led us to consider the clinical signs of cavo-atrial obstruction, frequently silent and unspecific; the diagnostic methodology, especially based upon CAT scan and cavography, and the type of surgery and surgical technique called for, especially as regards the approach and the possible use of extracorporeal circulation (ECC).