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Right Heart Bypass for Inferior Vena Cava Tumor Thrombus Extending into Heart

Department of Cardiovascular and Thoracic Surgery 1 Department of Urology Kasturba Medical College & Hospital Manipal, India

For reprint information contact: Bhuvnesh Kumar Aggarwal, MCh Tel: 91 8252 71551 Fax: 91 8252 70061 Department of Cardiovascular and Thoracic Surgery, Kasturba Medical College & Hospital, Manipal, Karnataka 576119, India.

Radical nephrectomy with en bloc inferior vena caval tumor thrombectomy improves survival in patients with renal cell carcinoma with a tumor thrombus extending into the inferior vena cava. Cardiopulmonary bypass with or without deep-hypothermic circulatory arrest is advocated when the tumor thrombus extends into the right heart chambers. Right heart bypass was used to remove such a tumor thrombus successfully for the first time in a patient with renal cell carcinoma.