Transoesophageal echocardiography reduces invasiveness of cavoatrial tumour thrombectomy

Robert Sobczyński; Tomasz Golabek; Piotr Mazur; Piotr Chłosta

doi:10.5114/wiitm.2014.44281

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abstract:

Case report

Transoesophageal echocardiography reduces invasiveness of cavoatrial tumour thrombectomy

Robert Sobczyński

,

Tomasz Golabek

,

Piotr Mazur

,

Piotr Chłosta

Videosurgery Miniinv 2014; 9 (3): 479–483

DOI: https://doi.org/10.5114/wiitm.2014.44281

Online publish date: 2014/07/28

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The traditional approach to cavoatrial thrombus excision requires median sternotomy, cardiopulmonary bypass with or without hypothermia and circulatory arrest and is associated with significant morbidity and mortality. We describe a transoesophageal echocardiography guided balloon catheter assisted technique for cavoatrial thrombectomy that avoids thoracotomy, extracorporeal circulation and circulatory arrest as an alternative to traditional methods. A 74-year-old man presented with a right solid renal mass confined to the kidney with thrombus extension through the right renal vein and the inferior vena cava into the right atrium. A right radical nephrectomy with cavoatrial thrombectomy under transoesophageal echocardiography guidance was successfully achieved using a balloon catheter-assisted technique with minimal intra-and postoperative morbidity. Cavoatrial tumour thrombectomy can be successfully performed without cardiopulmonary bypass, hypothermia and circulatory arrest.

keywords:

Transoesophageal echocardiography reduces invasiveness of cavoatrial tumour thrombectomy

Robert Sobczyński , Tomasz Golabek , Piotr Mazur , Piotr Chłosta

cavoatrial thrombus, renal cancer, thrombectomy, surgical management

Robert Sobczyński

,

Tomasz Golabek

,

Piotr Mazur

,

Piotr Chłosta