{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:00:50Z","timestamp":1761764450015},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1986,6,1]],"date-time":"1986-06-01T00:00:00Z","timestamp":517968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1986,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Intra\u2010atrial tumor thrombus arising from a renal or adrenal tumor is a serious development. Preoperative recognition by computed tomographic scanning and cavography is important, and these investigations should be considered even in patients without symptoms of venous obstruction, especially if the tumor is right\u2010sided and greater than 7\u00a0cm in diameter<\/jats:bold>.<\/jats:p><jats:p><jats:bold>We report here our experience with the management of 3 patients with intra\u2010atrial tumor thrombus (2 adrenal, 1 renal). A combined midline and median sternotomy approach is preferred and cardiopulmonary bypass is essential. Moderate hypothermia and liver inflow occlusion may also be necessary. This technique provides effective vascular control for resection of the tumor and its intravascular extension, and is simpler than profound hypothermia, total body exsanguination, and complete circulatory arrest. Perioperative endoscopic examination of the interior of the inferior vena cava and hepatic veins, under bloodless conditions, helps to ensure that there has been complete removal of the thrombus<\/jats:bold>.<\/jats:p><jats:p><jats:bold>A review of 28 reported patients who have had removal of intra\u2010atrial thrombus suggests that long\u2010term survival is rare, but the possibility of symptom relief makes this procedure worthwhile<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01655317","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T02:57:32Z","timestamp":1115521052000},"page":"488-494","source":"Crossref","is-referenced-by-count":9,"title":["Intra\u2010atrial extension of renal and adrenal tumors: Diagnosis, management, and prognosis"],"prefix":"10.1002","volume":"10","author":[{"given":"Thomas B.","family":"Hugh","sequence":"first","affiliation":[{"name":"Departments of Surgery and Cardiothoracic Surgery St. Vincent's Hospital Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert M.","family":"Jones","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Cardiothoracic Surgery St. Vincent's Hospital Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark X.","family":"Shanahan","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Cardiothoracic Surgery St. Vincent's Hospital Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1986,6]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)50692-8"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197706022962207"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(78)90419-3"},{"key":"e_1_2_1_5_1","first-page":"903","article-title":"CT of intracardiac and intrapericardial masses","volume":"140","author":"Gross B.H.","year":"1983","journal-title":"Am. 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