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Sharo S. Raissi
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Ann Thorac Surg 2006;81:1887-1888
© 2006 The Society of Thoracic Surgeons

Case report

Cavo-Atrial Tumor Resection Under Total Circulatory Arrest Without a Sternotomy

Thomas Kleisli, BS a , Sharo S. Raissi, MD a , * , Nicholas N. Nissen, MD d , Wen Cheng, MD a , Louis Cohen, MD b , Stephen A. Sacks, MD c , Alfredo Trento, MD a

a Division of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA
b Division of Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA
c Division of Urology, Cedars-Sinai Medical Center, Los Angeles, California, USA
d Center for Liver and Kidney Diseases and Transplantation, Cedars-Sinai Medical Center, Los Angeles, California, USA

Accepted for publication May 17, 2005.

* Address correspondence to Dr Raissi, Division of Cardiothoracic Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, North Tower, Suite 6215, Los Angeles, CA 90048 (Email: sharo.raissi{at}cshs.org).

Surgical management of intracardiac tumors arising in the inferior vena cava often requires total circulatory arrest for safe and adequate resection. Total circulatory arrest has traditionally been accomplished by accessing the great vessels through a sternotomy. Combination of a sternotomy and a large abdominal incision results in excellent exposure but also creates the potential for significant morbidity. We report here the resection of cavoatrial tumors by achieving total circulatory arrest through femoral arterial and venous cannulation without requiring a sternotomy. This minimal-access total circulatory approach has the potential to greatly diminish morbidity when managing tumors of the inferior vena cava.






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