Ewing’s sarcoma of kidney extending into IVC and RA: resection using modified cannulation strategy for CPB

Ewing’s sarcoma of the kidney is a rare tumor. Although renal carcinomas are known to involve the inferior cava, extension of the tumor up to the right atrium is not common. In the majority of cases when the tumor extends into the infrahepatic part of the inferior vena cava, it can be removed from t...

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Bibliographic Details
Published inIndian journal of thoracic and cardiovascular surgery Vol. 40; no. 3; pp. 365 - 368
Main Authors Goyal, Vikas Deep, Gupta, Shubhanshu, Pahade, Akhilesh, Misra, Gaurav, Prajapati, Neeraj
Format Journal Article
LanguageEnglish
Published Singapore Springer Nature Singapore 01.05.2024
Subjects
Cardiac Surgery
Case Report
Medicine
Medicine & Public Health
Surgery
Thoracic Surgery
Vascular Surgery
Ewing’s sarcoma
Cardiopulmonary bypass
Partial sternotomy
Total circulatory arrest
Kidney tumor
Right atrial mass
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Summary:Ewing’s sarcoma of the kidney is a rare tumor. Although renal carcinomas are known to involve the inferior cava, extension of the tumor up to the right atrium is not common. In the majority of cases when the tumor extends into the infrahepatic part of the inferior vena cava, it can be removed from the abdominal approach. Few patients require the use of cardiopulmonary bypass for removal of the tumor in the inferior vena cava and right atrium. The management of patients requiring resection of kidney tumors and right atrial mass is more complicated and requires a team approach consisting of oncosurgeons, cardiac surgeons, and cardiac anesthetists. The resection of the kidney tumor with a mass in the right atrium is usually done concomitantly. The cardiopulmonary bypass cannulation strategy needs to be modified in such cases.
ISSN:0970-9134
0973-7723
DOI:10.1007/s12055-023-01662-w