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Ann Thorac Surg 2007;83:1564-1565
© 2007 The Society of Thoracic Surgeons

How To Do It

Cavoatrial Tumor Thrombectomy With Systemic Circulatory Arrest and Antegrade Cerebral Perfusion

Alessandro Mazzola, MDa,*, Renato Gregorini, MDa, Carmine Villani, MDa, Laura B. Colantonio, MDa, Raffaele Giancola, MDa, Giovanni L. Gravina, MDb, Carlo Vicentini, MD, FPb

a Department of Cardiac Surgery, Giuseppe Mazzini Hospital, Teramo, Italy
b Department of Urology, University of L’Aquila, L’Aquila, Italy

Accepted for publication April 6, 2006.

* Address correspondence to Dr Mazzola, Ospedale G. Mazzini, Piazzale San Padre Pio, Teramo, 64100 Italy (Email: sandromaz{at}tin.it).

Renal carcinoma extending into the inferior vena cava can be excised with a good early-term and long-term prognosis. Cardiopulmonary bypass and deep hypothermic circulatory arrest are used to resect intracardiac extension of the tumor. We propose antegrade selective cerebral and cardiac perfusion associated with systemic circulatory arrest to protect the brain and the abdominal viscera while obtaining a bloodless surgical field for tumor thrombus removal.






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Copyright © 2007 by The Society of Thoracic Surgeons.