Combined Aortic Valve Replacement and Renal Cell Carcinoma Thrombectomy. (March 2017)

• Record Type: Journal Article
• Authors: Martinelli, Susan M.; Lobonc, Andrew; Wallen, Eric M.; Stansfield, William E.; Selph, J. Patrick; Calvo, Benjamin; Kumar, Priya A.
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 21:Number 1(2017:Mar.)
• Page Start: 95
• Page End: 98
• Publication Date: 2017-03
• Subjects: cardiopulmonary bypass -- coagulopathy -- aortic valve replacement -- intraoperative transesophageal echocardiography -- acute renal failure; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/1089253215616498
• Languages: English
• ISSNs: 1089-2532

Abstract

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.