Novel Approach to Recurrent Cavoatrial Renal Cell Carcinoma

Division of Cardiac Surgery, Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
The Annals of thoracic surgery (Impact Factor: 3.85). 05/2012; 93(5):e119-21. DOI: 10.1016/j.athoracsur.2011.12.040
Source: PubMed


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. (Ann Thorac Surg 2012;93:e119-21) (c) 2012 by The Society of Thoracic Surgeons

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