TY - JOUR
T1 - Surgery of cavo-atrial renal carcinoma employing circulatory arrest
T2 - Immediate and mid-term results
AU - Donatelli, F.
AU - Pocar, M.
AU - Triggiani, M.
AU - Moneta, A.
AU - Lazzarini, I.
AU - D'Ancona, G.
AU - Pelenghi, S.
AU - Grossi, A.
PY - 1998/4
Y1 - 1998/4
N2 - From 1990 to 1995, 12 patients with cavo-atrial renal cell carcinoma underwent resection of the tumor. Circulatory arrest was employed in 11/12 cases. The neoplasm extended to the inferior vena cava in two patients and to the intrahepatic veins or right atrium in five cases. Two severely cardiac compromised patients died perioperatively. Of five patients who showed preoperative suspicion of isolated metastases, 3 patients died postoperatively because of relapsing disease after a mean period of 10.8 months. Five patients are alive and doing well after a mean follow-up of 14.8 months. In our experience myocardial dysfunction determined poor immediate survival. Mid-term survival was influenced by preoperative metastases and lymph-node involvement, but not by intracaval extension. Circulatory arrest appears to be a relatively safe technique to remove renal carcinoma with cavo-atrial extension and should be indicated whenever there are no metastases.
AB - From 1990 to 1995, 12 patients with cavo-atrial renal cell carcinoma underwent resection of the tumor. Circulatory arrest was employed in 11/12 cases. The neoplasm extended to the inferior vena cava in two patients and to the intrahepatic veins or right atrium in five cases. Two severely cardiac compromised patients died perioperatively. Of five patients who showed preoperative suspicion of isolated metastases, 3 patients died postoperatively because of relapsing disease after a mean period of 10.8 months. Five patients are alive and doing well after a mean follow-up of 14.8 months. In our experience myocardial dysfunction determined poor immediate survival. Mid-term survival was influenced by preoperative metastases and lymph-node involvement, but not by intracaval extension. Circulatory arrest appears to be a relatively safe technique to remove renal carcinoma with cavo-atrial extension and should be indicated whenever there are no metastases.
KW - Cavo-atrial renal carcinoma
KW - Circulatory arrest
UR - http://www.scopus.com/inward/record.url?scp=0032054598&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032054598&partnerID=8YFLogxK
U2 - 10.1016/S0967-2109(97)00135-X
DO - 10.1016/S0967-2109(97)00135-X
M3 - Article
C2 - 9610830
AN - SCOPUS:0032054598
VL - 6
SP - 166
EP - 170
JO - Cardiovascular Surgery
JF - Cardiovascular Surgery
SN - 0967-2109
IS - 2
ER -