PMC9985184_01
Right kidney tumor with tumor thrombus (CT scan)
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A 67-year-old man was diagnosed with a right kidney tumor with atrial thrombus (Fig. 1, Fig. 2).
Tumor thrombus in the right atrium of the heart (TEE)
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TEE revealed a small, solid tumor thrombus in the RA (Fig. 3), therefore we decided to perform surgery through the transabdominal approach only.
Right kidney with tumor thrombus removed en bloc
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The IVC was incised at the level of the liver and the entire tumor thrombus was removed en bloc with the kidney (Fig. 4).
Right atrium of the heart after removal of the tumor thrombus (TEE)
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TEE (Fig. 5). The pericardial wall, diaphragm, and IVC were then closed with running sutures.
PMC9985184_02
Left kidney with kidney tumor (CT scan)
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A 67-year-old woman was diagnosed with a stage IV left kidney tumor - a CT scan revealed kidney tumor with tumor thrombus in the IVC reaching the RA (Fig. 6, Fig. 7).
Large fragile tumor thrombus in the heart (TEE)
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TEE showed large, fragile atrial tumor thrombus (Fig. 8), so we decided to start the procedure with an abdominal approach followed by cardiothoracic surgeons performing sternotomy and CPB with DHCA.
Pulmonary embolism after tumor thrombus detachment (TEE)
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Suddenly, TEE revealed detachment of tumor thrombus, which was followed by massive pulmonary embolism and cardiac arrest (Fig. 9).