Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature

Cyro Rezende Laghi; Bruno Costa do Prado; Germano de Freitas Dan; Gustavo Ruschi Bechara; Bruna Afonso Venturini; Claudio Ferreira Borges

doi:10.1016/j.eucr.2020.101551

Renal cell carcinoma with tumor thrombus in the lower cava vein reaching the right atrium - Case report and brief review of the literature

Urol Case Rep. 2020 Dec 29:35:101551. doi: 10.1016/j.eucr.2020.101551. eCollection 2021 Mar.

Authors

Cyro Rezende Laghi¹, Bruno Costa do Prado¹, Germano de Freitas Dan¹, Gustavo Ruschi Bechara¹, Bruna Afonso Venturini¹, Claudio Ferreira Borges¹

Affiliation

¹ Department of Urology, Federal University of Espírito Santo (UFES), Vitória, ES, Brazil.

Abstract

Approximately 15% of cases of renal cell carcinoma (RCC) can invade the inferior vena cava, leading to the formation of a thrombus inside it, which can reach the cardiac chambers in up to 1% of cases. This article reports a case of RCC with venous thrombus that reached the right atrium. The patient underwent radical nephrectomy with lymphadenectomy and tumor thrombectomy with extracorporeal circulation associated with hypothermia, without total cardiac arrest. The surgical success of this case highlights the need to study new techniques that represent better operative approaches for solid kidney injuries.

Keywords: Caval thrombectomy; Hypothermic circulatory; Renal cell carcinoma; Right atrium thrombus.

Publication types

Case Reports