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Hiroshi Kubota
Akira Furuse
Yutaka Kotsuka
Kuniyoshi Yagyu
Motohiro Kawauchi
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Ann Thorac Surg 1996;61:708-710
© 1996 The Society of Thoracic Surgeons

Case Report

Successful Management of Massive Pulmonary Tumor Embolism From Renal Cell Carcinoma

Hiroshi Kubota, MD, Akira Furuse, MD, Yutaka Kotsuka, MD, Kuniyoshi Yagyu, MD, Motohiro Kawauchi, MD, Hirofumi Saito, MD

Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Accepted for publication July 31, 1995.

Renal cell carcinoma occasionally invades the inferior vena cava and rarely extends to the right atrium. However, despite the frequency of venous extension, it is unusual to recognize patients with massive pulmonary tumor embolus clinically. We describe a 60-year-old man who underwent pulmonary tumor embolectomy using cardiopulmonary bypass combined with profound hypothermia and intermittent low-flow perfusion. The patient is currently alive and well without implantation metastasis 6 months after the operation.




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