Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus

Department of Urology, University of Munich, Germany.
International Urology and Nephrology (Impact Factor: 1.52). 02/2002; 34(2):241-3. DOI: 10.1023/A:1023286917251
Source: PubMed


Surgical management of malignant pheochromocytoma with tumor-induced venous obstruction involving the entrance to the right atrium is challenging. The risk of marked hypotension and hemodynamic instability following clamping of the vena cava is increased as a consequence of the sudden decrease in circulating catecholamines. The use of cardiac bypass, however is burdened with additional operating time and coagulopathy. The present report illustrates that veno-venous bypass is a valuable tool during resection of phenochromocytoma with a large vena caval tumor thrombus.

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