KIDNEY CANCER COMPLICATED BY THROMOBOSIS OF THE RENAL VEIN WITH SPREAD TO RIGHT ATRIUM: CLINICAL CASE

Abstract

Aim. Renal cancer complicated by renal vein thrombosis spreading to the supradiaphragmatic inferior vena cava poses an increased risk of treatment due to the likelihood of pulmonary embolism by thrombotic masses. Issues of surgical access and technique are paramount during surgery. Description of the clinical case. A 38-year-old patient was diagnosed with the left kidney cancer with renal vein thrombosis, based on ultrasound and contrast-enhanced computed tomography. The renal vein thrombosis spread through the inferior vena cava to the right atrium. Nephrectomy and thrombectomy were performed under conditions of cardiopulmonary bypass and short-term circulatory arrest. Conclusions. Renal vein thrombosis that spread to the chambers of the heart can be surgically corrected by the technique of cardiopulmonary bypass.

Keywords

• renal cancer
• venous thrombosis
• thrombectomy
• cardiopulmonary bypass