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Ann Thorac Surg 1989;48:421-422
© 1989 The Society of Thoracic Surgeons

Articles

Resection of Atriocaval Adrenal Carcinoma Using Hypothermic Circulatory Arrest

David M. Shahian, MD*, Peter T. Nieh, MD, John A. Libertino, MD

Departments of Thoracic and Cardiovascular Surgery and Urology, Lahey Clinic Medical Center, Burlington, Massachusetts, and Division of Thoracic and Cardiovascular Surgery, New England Deaconess Hospital, Boston, Massachusetts

Accepted for publication February 7, 1989.

* Address reprint requests to Dr Shahian, Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805

Carcinoma of the adrenal cortex may occasionally extend through the inferior vena cava to the right atrium without actually invading the vascular endothelium. Surgical resection may result in excellent palliation and the potential for prolonged survival when no other signs of advanced disease are present. Extrapolating from our experience with renal cell carcinoma extending to the right atrium, we resected a similar adrenocortical carcinoma using hypothermic circulatory arrest.




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T. E. Theman
Resection of atriocaval adrenal carcinoma
Ann. Thorac. Surg., January 1, 1990; 49(1): 170 - 170.
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