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

ArticleinInternational Urology and Nephrology 34(2):241-3 · February 2002with7 Reads
Impact Factor: 1.52 · DOI: 10.1023/A:1023286917251 · Source: PubMed

    Abstract

    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.