Massive intraoperative pulmonary tumor embolus from renal cell carcinoma

B. Milne; F. W. Cervenko; A. Morales; T. A. Salerno

doi:10.1097/00000542-198103000-00015

Massive intraoperative pulmonary tumor embolus from renal cell carcinoma

B. Milne, F. W. Cervenko, A. Morales, T. A. Salerno

Research output: Contribution to journal › Article › peer-review

28 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	253-255
Number of pages	3
Journal	Anesthesiology
Volume	54
Issue number	3
DOIs	https://doi.org/10.1097/00000542-198103000-00015
State	Published - Jan 1 1981
Externally published	Yes

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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AU - Milne, B.

AU - Cervenko, F. W.

AU - Morales, A.

AU - Salerno, T. A.

PY - 1981/1/1

Y1 - 1981/1/1

N2 - 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.

AB - 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.

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