Renal cell carcinoma occasionally invades the inferior vena cava (IVC). In such patients a radical nephrectomy and complete removal of the tumor thrombus from the IVC is required. Intraoperative problems encountered include massive hemorrhage, decrease in venous return due to manipulation of the IVC tumor obstruction of the outflow of the right ventricle, and air and tumor pulmonary embolus. A case is reported of massive intraoperative pulmonary tumor embolus from renal cell carcinoma invading the IVC. The condition was immediately recognized and treated successfully by cardiopulmonary bypass (CPB) and removal of the tumor from the pulmonary artery.
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine