{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:21:21Z","timestamp":1758874881363,"version":"3.28.0"},"reference-count":16,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>Invasion of a renal cell carcinoma thrombus into the inferior vena cava and right atrium is infrequent. Reaching and completely excising a tumor from the inferior vena cava is particularly challenging because the liver covers the surgical field. We report the case of a 61-year-old man who underwent surgery for a renal cell carcinoma of the right kidney that extended into the inferior vena cava and right atrium. During dissection of the liver to expose the inferior vena cava, transesophageal echocardiograms revealed right atrial mass migration into the tricuspid valve. On emergency sternotomy, the tumor embolized into the main pulmonary artery. We used a selective upper-body perfusion technique involving moderately hypothermic cardiopulmonary bypass, cardioplegic arrest, and clamping of the descending aorta, which provided a bloodless surgical field for precise removal of the mass and resulted in minimal blood loss. Our technique might be useful in other patients with tumor thrombus extending into the right atrium because it reduces the need for transfusion and avoids the deleterious effects of deep hypothermic circulatory arrest. Our case also illustrates the importance of continuous transesophageal echocardiographic monitoring to detect thrombus embolization.<\/jats:p>","DOI":"10.14503\/thij-16-6011","type":"journal-article","created":{"date-parts":[[2017,8,30]],"date-time":"2017-08-30T14:18:16Z","timestamp":1504102696000},"page":"283-286","source":"Crossref","is-referenced-by-count":1,"title":["Selective Upper-Body Perfusion Technique for Removal of Renal Cell Carcinoma Extending into the Inferior Vena Cava and Right Atrium"],"prefix":"10.14503","volume":"44","author":[{"given":"Selim","family":"Aydin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bora","family":"Cengiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Banu Vural","family":"Gokay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anar","family":"Mammadov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Remzi","family":"Emiroglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadettin","family":"Eskicorapci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ersin","family":"Erek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"5","key":"i1526-6702-44-4-283-b1","series-title":"J Urol","first-page":"1681","article-title":"Vein invasion in renal cell carcinoma: impact on metastatic behavior and survival","volume":"154","year":"1995","unstructured":"Ljungberg\n              B\n            , StenlingR, OsterdahlB, FarrellyE, AbergT, RoosG.\n          Vein invasion in renal cell carcinoma: impact on metastatic behavior and survival. J Urol1995;154(5):1681\u20134."},{"issue":"6","key":"i1526-6702-44-4-283-b2","series-title":"Surgeon","first-page":"295","article-title":"Renal cell carcinoma with IVC and atrial thrombus: a single centre's 10 year surgical experience","volume":"11","year":"2013","unstructured":"Casey\n              RG\n            , RaheemOA, ElmusharafE, MadhavanP, TolanM, LynchTH.\n          Renal cell carcinoma with IVC and atrial thrombus: a single centre's 10 year surgical experience. Surgeon2013;11(6):295\u20139."},{"issue":"6","key":"i1526-6702-44-4-283-b3","series-title":"J Card Surg","first-page":"754","article-title":"Management of renal cell carcinoma with intracardiac extension","volume":"23","year":"2008","unstructured":"Posacioglu\n              H\n            , AyikMF, ZeytunluM, AmanvermezD, EnginC, ApaydinAZ.\n          Management of renal cell carcinoma with intracardiac extension. J Card Surg2008;23(6):754\u20138."},{"issue":"1","key":"i1526-6702-44-4-283-b4","series-title":"J Thorac Cardiovasc Surg","first-page":"19","article-title":"Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients","volume":"106","year":"1993","unstructured":"Svensson\n              LG\n            , CrawfordES, HessKR, CoselliJS, RaskinS, ShenaqSA, SafiHJ.\n          Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg1993;106(1):19\u201331."},{"issue":"2","key":"i1526-6702-44-4-283-b5","series-title":"Ann Thorac Surg","first-page":"505","article-title":"Renal carcinoma with supradia-phragmatic tumor thrombus: avoiding sternotomy and cardiopulmonary bypass","volume":"89","year":"2010","unstructured":"Ciancio\n              G\n            , ShirodkarSP, SolowayMS, LivingstoneAS, BarronM, SalernoTA.\n          Renal carcinoma with supradia-phragmatic tumor thrombus: avoiding sternotomy and cardiopulmonary bypass. Ann Thorac Surg2010;89(2):505\u201310."},{"issue":"6","key":"i1526-6702-44-4-283-b6","series-title":"J Urol","first-page":"1671","article-title":"The role of radical surgery for renal cell carcinoma with extension into the vena cava","volume":"163","year":"2000","unstructured":"Staehler\n              G\n            , BrkovicD.\n          The role of radical surgery for renal cell carcinoma with extension into the vena cava. J Urol2000;163(6):1671\u20135."},{"issue":"3 Pt 1","key":"i1526-6702-44-4-283-b7","series-title":"J Urol","first-page":"665","article-title":"The use of liver transplant techniques to aid in the surgical management of urological tumors","volume":"164","year":"2000","unstructured":"Ciancio\n              G\n            , HawkeC, SolowayM.\n          The use of liver transplant techniques to aid in the surgical management of urological tumors. J Urol2000;164(3 Pt 1):665\u201372."},{"issue":"6","key":"i1526-6702-44-4-283-b8","series-title":"J Urol","first-page":"1097","article-title":"Renal cell carcinoma extending into the inferior vena cava: the prognostic significance of the level of vena caval involvement","volume":"132","year":"1984","unstructured":"Sosa\n              RE\n            , MueckeEC, VaughanEDJr, McCarronJPJr.\n          Renal cell carcinoma extending into the inferior vena cava: the prognostic significance of the level of vena caval involvement. J Urol1984;132(6):1097\u2013100."},{"issue":"4","key":"i1526-6702-44-4-283-b9","series-title":"Masui","first-page":"514","article-title":"Anesthetic management of a patient with renal cell carcinoma extending into the right atrium [in Japanese]","volume":"59","year":"2010","unstructured":"Kumamoto\n              T\n            , NishiM.\n          Anesthetic management of a patient with renal cell carcinoma extending into the right atrium [in Japanese]. Masui2010;59(4):514\u20138."},{"issue":"4","key":"i1526-6702-44-4-283-b10","series-title":"Int J Urol","first-page":"189","article-title":"Intraoperative transesophageal echocardiography for inferior vena caval tumor thrombus in renal cell carcinoma","volume":"11","year":"2004","unstructured":"Oikawa\n              T\n            , ShimazuiT, JohrakuA, KiharaS, TsukamotoS, MiyanagaN, \n          et al. Intraoperative transesophageal echocardiography for inferior vena caval tumor thrombus in renal cell carcinoma. Int J Urol2004;11(4):189\u201392."},{"issue":"4","key":"i1526-6702-44-4-283-b11","series-title":"J Urol","first-page":"414","article-title":"Surgery for renal cell carcinoma in the vena cava","volume":"103","year":"1970","unstructured":"Marshall\n              VF\n            , MiddletonRG, HolswadeGR, GoldsmithEI.\n          Surgery for renal cell carcinoma in the vena cava. J Urol1970;103(4):414\u201320."},{"issue":"4","key":"i1526-6702-44-4-283-b12","series-title":"Innovations (Phila)","first-page":"316","article-title":"Normothermic cardiopulmonary bypass with beating heart for management of renal cell carcinoma with atrial tumor thrombus","volume":"8","year":"2013","unstructured":"Calcaterra\n              D\n            , CollinsTE, TurekJW, ParekhKR, BashirM, UedaK, \n          et al. Normothermic cardiopulmonary bypass with beating heart for management of renal cell carcinoma with atrial tumor thrombus. Innovations (Phila)2013;8(4):316\u20139."},{"issue":"3","key":"i1526-6702-44-4-283-b13","series-title":"Eur Urol","first-page":"401","article-title":"Liver transplantation techniques for the surgical management of renal cell carcinoma with tumor thrombus in the inferior vena cava: step-by-step description","volume":"59","year":"2011","unstructured":"Ciancio\n              G\n            , GonzalezJ, ShirodkarSP, AnguloJC, SolowayMS.\n          Liver transplantation techniques for the surgical management of renal cell carcinoma with tumor thrombus in the inferior vena cava: step-by-step description. Eur Urol2011;59(3):401\u20136."},{"issue":"4","key":"i1526-6702-44-4-283-b14","series-title":"Ann Thorac Surg","first-page":"1564","article-title":"Cavoatrial tumor thrombectomy with systemic circulatory arrest and antegrade cerebral perfusion","volume":"83","year":"2007","unstructured":"Mazzola\n              A\n            , GregoriniR, VillaniC, ColantonioLB, GiancolaR, GravinaGL, VicentiniC.\n          Cavoatrial tumor thrombectomy with systemic circulatory arrest and antegrade cerebral perfusion. Ann Thorac Surg2007;83(4):1564\u20135."},{"issue":"5","key":"i1526-6702-44-4-283-b15","series-title":"Ann Thorac Surg","first-page":"1679","article-title":"Safe technique for removal of extensive renal cell tumors","volume":"71","year":"2001","unstructured":"Ngaage\n              DL\n            , SharpeDA, PrescottS, KayPH.\n          Safe technique for removal of extensive renal cell tumors. Ann Thorac Surg2001;71(5):1679\u201381."},{"issue":"2","key":"i1526-6702-44-4-283-b16","series-title":"Ann Thorac Surg","first-page":"733","article-title":"Resection of right atrial tumor thrombi without circulatory arrest","volume":"71","year":"2001","unstructured":"Ruel\n              M\n            , BedardP, MorashCG, HynesM, BarberGG.\n          Resection of right atrial tumor thrombi without circulatory arrest. Ann Thorac Surg2001;71(2):733\u20134."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/44\/4\/article-p283.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/44\/4\/283\/1968731\/thij-16-6011.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/44\/4\/article-p283.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/44\/4\/article-p283.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:32:50Z","timestamp":1730993570000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/44\/4\/article-p283.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":16,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.14503\/thij-16-6011","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2017,8]]}}}