Cardiovascular Surgery and Interventions 2014, Vol 1, Num 2 Page(s): 045-048
Simultaneous nephrectomy, intracaval and right atrial tumor excision, caval patchplasty and coronary artery bypass grafting in patient with renal cell carcinoma

İhsan Alur,1 İbrahim Gökşin,1 Yusuf İzzettin Alihanoğlu,2 Fırat Durna,1 Levent Tuncay3

1Department of Cardiovascular Surgery, Medical Faculty of Pamukkale University, Denizli, Turkey
2Department of Cardiology, Medical Faculty of Pamukkale University, Denizli, Turkey
3Department of Urolology, Medical Faculty of Pamukkale University, Denizli, Turkey

Keywords: Cardiopulmonary bypass; coronary bypass; nephrectomy; renal cell carcinoma; right atrial mass; tumor
The most common type of tumor occupying the inferior vena cava and extending to the right atrial cavity is renal cell carcinoma. Herein, we report a 54-year-old male patient with renal cell carcinoma with a tumor extending into the inferior vena cava and right atrium along with coronary artery disease. The patient successfully underwent simultaneous nephrectomy, intracaval and right atrial tumor excision, caval patchplasty and coronary artery bypass grafting under normothermic cardiopulmonary bypass without cross clamping or cardioplegic arrest. To the best of our knowledge, this is the first case reported in the literature in whom all the operations were performed simultaneously.

DOI : 10.5606/e-cvsi.2014.244