Combined Aortic Valve Replacement and Renal Cell Carcinoma Thrombectomy.
Although nephrectomy for renal cell carcinoma with inferior vena cava invasion is a common procedure, it is rare to have level IV invasion necessitating cardiopulmonary bypass (CPB). Furthermore, it is exceptionally rare to perform cardiac surgery concomitantly with this resection. We report a case in which an aortic valve replacement was done in the same surgical setting as a level IV thrombectomy. We have demonstrated that although it can be difficult to manage the coagulopathy post-CPB, this can be successfully accomplished with adequate prior preparation and a coordinated team effort.
['Martinelli|Susan M|SM|', 'Lobonc|Andrew|A|', 'Wallen|Eric M|EM|', 'Stansfield|William E|WE|', 'Selph|J Patrick|JP|', 'Calvo|Benjamin|B|', 'Kumar|Priya A|PA|']
D001021:Aortic Valve D002292:Carcinoma, Renal Cell D002315:Cardiopulmonary Bypass D017548:Echocardiography, Transesophageal D019918:Heart Valve Prosthesis Implantation D006801:Humans D007430:Intraoperative Care D007668:Kidney D007680:Kidney Neoplasms D008297:Male D008875:Middle Aged D017131:Thrombectomy D016896:Treatment Outcome D020246:Venous Thrombosis
aortic valve replacement cardiopulmonary bypass coagulopathy acute renal failure intraoperative transesophageal echocardiography