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Cavoatrial tumor thrombectomy with systemic circulatory arrest and antegrade cerebral perfusion.

AbstractRenal carcinoma extending into the inferior vena cava can be excised with a good early-term and long-term prognosis. Cardiopulmonary bypass and deep hypothermic circulatory arrest are used to resect intracardiac extension of the tumor. We propose antegrade selective cerebral and cardiac perfusion associated with systemic circulatory arrest to protect the brain and the abdominal viscera while obtaining a bloodless surgical field for tumor thrombus removal.
AuthorsAlessandro Mazzola, Renato Gregorini, Carmine Villani, Laura B Colantonio, Raffaele Giancola, Giovanni L Gravina, Carlo Vicentini (Affiliation: Department of Cardiac Surgery, Giuseppe Mazzini Hospital, Teramo, Italy. sandromaz at tin.it)
JournalThe Annals of thoracic surgery (Ann Thorac Surg) Vol. 83 Issue 4 Pg. 1564-5 (Apr 2007) ISSN: 1552-6259 Netherlands
PMID17383394 (Publication Type: Case Reports, Journal Article)
Topics
  • Brain Ischemia (prevention & control)
  • Carcinoma, Renal Cell (pathology, surgery)
  • Circulatory Arrest, Deep Hypothermia Induced (methods)
  • Combined Modality Therapy
  • Female
  • Follow-Up Studies
  • Heart Atria (surgery)
  • Humans
  • Kidney Neoplasms (pathology, surgery)
  • Middle Aged
  • Neoplasm Circulating Cells
  • Nephrectomy (adverse effects, methods)
  • Perfusion (methods)
  • Risk Assessment
  • Thrombectomy (methods)
  • Vena Cava, Inferior (surgery)