摘要
A renal mass with level Level IV IVC thrombus is usually managed with radical nephrectomy and IVC thrombectomy. This procedure requires the assistance of a cardiac surgeon and is usually done under complete cardiopulmonary bypass. However, the use of cardiopulmonary bypass is associated with reduced cardiac venous return and can consequently decrease cardiac output, adversely affecting haemo-dynamic stability and systemic arterial perfusion. This can lead to relative ischemia of the abdominal viscera, lower limbs and kidneys. We report a case where radical nephrectomy with IVC thrombectomy was done under venovenous bypass, thus avoiding the complications associated with the cardiopulmonary bypass.
A renal mass with level Level IV IVC thrombus is usually managed with radical nephrectomy and IVC thrombectomy. This procedure requires the assistance of a cardiac surgeon and is usually done under complete cardiopulmonary bypass. However, the use of cardiopulmonary bypass is associated with reduced cardiac venous return and can consequently decrease cardiac output, adversely affecting haemo-dynamic stability and systemic arterial perfusion. This can lead to relative ischemia of the abdominal viscera, lower limbs and kidneys. We report a case where radical nephrectomy with IVC thrombectomy was done under venovenous bypass, thus avoiding the complications associated with the cardiopulmonary bypass.
作者
Rajiv Kumar Sethia
Aakib Hamid Charag
Sidhu Sudeep Singh
Nilesh Nirmal Agarwal
Pankaj Ingole
Rajiv Kumar Sethia;Aakib Hamid Charag;Sidhu Sudeep Singh;Nilesh Nirmal Agarwal;Pankaj Ingole(Department of Urology and Kidney Transplant, Asian Institute of Medical Sciences, Faridabad, Haryana, India;Department of Cardiac Surgeon, Metro Hospital, Faridabad, Haryana, India;Department of Cardiac Anasthesia, Metro Hospital, Faridabad, Haryana, India)
