Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 1998;35(1):181-185.
DOI: https://doi.org/10.4097/kjae.1998.35.1.181   
Anesthetic Management of Patient with Renal Cell Carcinoma Extending into the Right Atrium Using Adjunctive Deep Hypothermic Circulatory Arrest: A case report.
Duck Kyoung Kim, Han Chul Kim, Ik Hyun Choi, Byung Mun Ham
Department of Anesthesiology, Collage of Medicine, Seoul National University, Seoul, Korea.
Abstract
Renal cell carcinoma is associated with inferior vena cava tumor spread in 4~10% of cases and with extension of the tumor thrombus into the right atrium in less than 1% of cases. Because inferior vena caval involvement does not affect the ultimate survival in patients with nonmetastatic renal cell carcinoma, aggressive surgical resection is indicated. We experienced a case of complete tumor excision with radical nephrectomy and inferior vena caval and right atrial thrombectomy using adjunctive cardiopulmonary bypass(CPB) and deep hypothermic circulatory arrest(DHCA). During total circulatory arrest(TCA), we protected brain from ischemic insult using deep hypothermia, retrograde cerebral perfusion, thiopental, and high dose steroid. The patient recovered uneventfully except minor neuropsychiatric symptom for 3 weeks after operation.
Key Words: Brain: hypoxia; brain protection; Cancer: renal cell carcinoma; inferior vena cava thrombosis; Heart: total circulatory arrest; DHCA; retrograde cerebral perfusion; Pharmacology: thiopental


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
(서울특별시 마포구 마포대로 109 롯데캐슬 프레지던트 101동 3503호)
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                
Business Name: Korean Society of Anesthesiologists (대한마취통증의학회)
Business Registration: 106-82-07194
Representative: Young-Tae Jeon (전영태)

Copyright © 2025 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next