Novel approach to recurrent cavoatrial renal cell carcinoma

Ann Thorac Surg. 2012 May;93(5):e119-21. doi: 10.1016/j.athoracsur.2011.12.040.

Abstract

Renal cell carcinoma (RCC) with cavoatrial extension is a rare and complex problem. Complete resection is difficult but correlates with favorable patient outcomes. We present 2 cases of successful reoperative resections of recurrent RCC in patients with level III-IV cavoatrial involvement. We used a thoracoabdominal approach, peripheral cannulation, and hypothermic circulatory arrest. We advocate this novel approach as a successful means of avoiding a more difficult reoperation.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Renal Cell / pathology*
  • Carcinoma, Renal Cell / secondary
  • Carcinoma, Renal Cell / surgery*
  • Combined Modality Therapy
  • Echocardiography, Transesophageal / methods
  • Follow-Up Studies
  • Heart Arrest, Induced / methods
  • Heart Atria / pathology
  • Heart Atria / surgery
  • Heart Neoplasms / secondary
  • Heart Neoplasms / surgery*
  • Humans
  • Hypothermia, Induced / methods
  • Intraoperative Care / methods
  • Kidney Neoplasms / pathology*
  • Kidney Neoplasms / surgery*
  • Male
  • Middle Aged
  • Neoplasm Invasiveness / pathology
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / surgery*
  • Neoplasm Staging
  • Phlebography / methods
  • Reoperation
  • Risk Assessment
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Neoplasms / secondary
  • Vascular Neoplasms / surgery*
  • Vena Cava, Inferior / pathology
  • Vena Cava, Inferior / surgery