eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2014
vol. 9
 
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abstract:
Case report

Transoesophageal echocardiography reduces invasiveness of cavoatrial tumour thrombectomy

Robert Sobczyński
,
Tomasz Golabek
,
Piotr Mazur
,
Piotr Chłosta

Videosurgery Miniinv 2014; 9 (3): 479–483
Online publish date: 2014/07/28
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The traditional approach to cavoatrial thrombus excision requires median sternotomy, cardiopulmonary bypass with or without hypothermia and circulatory arrest and is associated with significant morbidity and mortality. We describe a transoesophageal echocardiography guided balloon catheter assisted technique for cavoatrial thrombectomy that avoids thoracotomy, extracorporeal circulation and circulatory arrest as an alternative to traditional methods. A 74-year-old man presented with a right solid renal mass confined to the kidney with thrombus extension through the right renal vein and the inferior vena cava into the right atrium. A right radical nephrectomy with cavoatrial thrombectomy under transoesophageal echocardiography guidance was successfully achieved using a balloon catheter-assisted technique with minimal intra-and postoperative morbidity. Cavoatrial tumour thrombectomy can be successfully performed without cardiopulmonary bypass, hypothermia and circulatory arrest.
keywords:

cavoatrial thrombus, renal cancer, thrombectomy, surgical management

  
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