肾细胞癌合并下腔静脉血栓行肾切除术时出现逆行主动脉夹层1例。

IF 1.7 3区医学 Q3 UROLOGY & NEPHROLOGY

BMC Urology Pub Date : 2024-12-04 DOI:10.1186/s12894-024-01662-x

Kasi Viswanath Gali, Guruprasad D Rai, Anupam Choudhary, K R Surag, Ganesh S Kamath, Arun Chawla, Vijay Gunashekar

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引用次数: 0

摘要

背景：下腔静脉血栓的肾小细胞癌的手术治疗具有挑战性，特别是当肿瘤血栓延伸到横膈膜以上时。在这种情况下，体外循环常用于辅助手术切除肿瘤。病例介绍：我们详细介绍了一例67岁男性肾细胞癌合并下腔静脉血栓的病例，肿瘤血栓延伸至右心房，在手术过程中发生了手术台上逆行A型主动脉夹层，因此排除了体外循环。经肾动脉残端内固定导致夹层皮瓣消失。结论：手术外科医生应注意在根治性肾切除术中发生逆行性主动脉夹层的可能性及其术中影响。

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Retrograde aortic dissection encountered amidst nephrectomy for renal cell carcinoma with IVC thrombus - a case report.

Background: Management of RCC with IVC thrombus can be surgically challenging, particularly when the tumour thrombus extends above the diaphragm. Cardiopulmonary bypass is often employed to aid surgical removal of the tumour in such cases.

Case presentation: We detail an instance of 67-year-old Male patient suffering from RCC with IVC thrombus, with the tumour thrombus extending into the right atrium, who developed on-table retrograde type A aortic dissection amidst the surgical procedure, thereby precluding cardiopulmonary bypass. Transfixation of the renal arterial stump resulted in disappearance of the dissection flap.

Conclusions: Operating surgeons should be mindful of the potential for retrograde aortic dissection during Radical Nephrectomy and its implications intraoperatively.

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来源期刊

BMC Urology UROLOGY & NEPHROLOGY-

CiteScore

3.20

自引率

0.00%

发文量

177

审稿时长

>12 weeks

期刊介绍： BMC Urology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of urological disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal considers manuscripts in the following broad subject-specific sections of urology: Endourology and technology Epidemiology and health outcomes Pediatric urology Pre-clinical and basic research Reconstructive urology Sexual function and fertility Urological imaging Urological oncology Voiding dysfunction Case reports.