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Renal cell carcinomas may extend into the vena cava and the tumor thrombus occasionally involves the right atrium. The operative approach depends upon precise preoperative and intraoperative staging and thrombus localization. We report a case of renal cell carcinoma with complete inferior vena caval and hepatic vein occlusion with tumor extension into the right atrium. Preoperatively, transesophageal echocardiography provided superior images of the tumor and its extension, and intraoperatively allowed continuous monitoring of cardiac function and the removal of tumor from the atrium and inferior vena cava. Its use obviated the need for more costly and invasive preoperative and intraoperative procedures.
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
January 1995,
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
January 2008,
Journal of cardiac surgery,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
February 2002,
Der Anaesthesist,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
January 2016,
Annals of cardiac anaesthesia,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
April 2000,
Journal of cardiothoracic and vascular anesthesia,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
June 1991,
The Journal of urology,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
March 2020,
Journal of cardiothoracic and vascular anesthesia,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
December 2018,
Echocardiography (Mount Kisco, N.Y.),
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
February 2012,
Current urology reports,
G Allen, and
R Klingman, and
V A Ferraris, and
H Fisher, and
F Harte, and
A Singh
September 2022,
Journal of cardiac surgery,
