Summary:
Renal cell carcinoma (RCC) is the commonest primary tumor
of the kidney which may invade through the renal vein into
the inferior vena cava (IVC), and then it can extend
intraluminally with subsequent tumor-thrombus formation.
Here we report a case involving excision of a primary RCC
with tumor-thrombus involving IVC up to right atrium with
the use of extracorporeal circulation.
Single stage surgical procedure was performed in
collaboration with a urological team aiming complete
resection of primary tumor, para-aortic lymphadenectomy
and removal of IVC thrombus extending to right atrium
CASE REPORTS
1. Specialist Cardiac Surgeon, Department of Cardiac Surgery,
United Hospital Limited, Gulshan, Dhaka.
2. Specialist Cardiac Surgeon, Department of Cardiac Surgery,
United Hospital Limited, Gulshan, Dhaka.
3. Consultant Cardiac Surgeon, Department of Cardiac Surgery,
United Hospital Limited, Gulshan, Dhaka.
4. Consultant, Department of Urology, United Hospital
Limited, Gulshan, Dhaka.
Address of Correspondence: Dr.Sonjoy Biswas, Specialist
Cardiac Surgeon, Department of Cardiac Surgery, United Hospital
Limited, Dhaka, Mobile: 01713062204
e-mail- sanjoy.tapoo@gmail.com
Received: 11 Oct. 2017 Accepted: 13 Feb. 2018
with the help of cardiopulmonary bypass. After arresting
heart, RA was opened and the mass was removed through RA
from IVC and hepatic vein level. Abdominal IVC was opened
and the entire residual mass was removed from below also
small amount of thrombus removed from left renal vein.
Postoperative venous doppler showed no residual thrombus
in venous system. Histopathology report confirmed papillary
renal cell carcinoma. The patient was discharged from
hospital in the 12th post-operative day without any
complication.
(J Bangladesh Coll Phys Surg 2018; 36: 77-79)