Renal cell carcinoma (RCC) with cavoatrial extension is a rare and complex problem.
Complete resection is difficult but correlates with favorable patient outcomes. We present 2 cases of successful reoperative resections of recurrent RCC in patients with level III-IV cavoatrial involvement. We used a thoracoabdominal approach, peripheral cannulation, and hypothermic circulatory arrest. We advocate this novel approach as a successful means of avoiding a more difficult reoperation.
Written by:
Alejo JL, George TJ, Beaty CA, Allaf ME, Black JH 3rd, Shah AS. Are you the author?
Division of Cardiac Surgery, Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
Reference: Ann Thorac Surg. 2012 May;93(5):e119-21.
doi: 10.1016/j.athoracsur.2011.12.040
PubMed Abstract
PMID: 22541233
UroToday.com Renal Cancer Section
