Korean J Thorac Cardiovasc Surg.  2012 Oct;45(5):323-325. 10.5090/kjtcs.2012.45.5.323.

Successful Management of Pulmonary and Inferior Vena Cava Tumor Embolism from Renal Cell Carcinoma

Affiliations
  • 1Division of Cardiovascular Surgery, Department of Cardiothoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. wooksungkim@yahoo.com
  • 2Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
  • 3Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

Abstract

Pulmonary tumor embolism can be a cause of respiratory failure in patients with cancer even though it occurs rarely. We describe a 56-year-old man who underwent a pulmonary tumor embolectomy using cardiopulmonary bypass on beating heart combined with inferior vena cava embolectomy and right radical nephrectomy. Aggressive surgical treatment in this severe case is necessary not only to reduce the fatal outcome of pulmonary embolism in the short run, but also to improve the oncological prognosis in the long term.

Keyword

Pulmonary embolism; Cancer; Great vessels; Embolectomy

MeSH Terms

Carcinoma, Renal Cell
Cardiopulmonary Bypass
Embolectomy
Fatal Outcome
Heart
Humans
Middle Aged
Neoplastic Cells, Circulating
Nephrectomy
Prognosis
Pulmonary Embolism
Respiratory Insufficiency
Vena Cava, Inferior
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