Early detection of a cavopulmonary tumor embolus with the use of transesophageal echocardiography.

ABSTRACT: Pulmonary tumor embolization from renal cell carcinoma is associated with severe cardiopulmonary morbidity and high perioperative mortality rates. We report the case of a 71-year-old woman who presented with right-sided abdominal pain. Magnetic resonance images revealed a mass originating from the upper pole of the right kidney and extending into the infrahepatic portion of the inferior vena cava. Transesophageal echocardiography was continuously used to monitor the mass during intended radical nephrectomy and tumor resection. When the right kidney was mobilized, intracaval thrombus detached and migrated to the patient's right atrium, causing severe hemodynamic instability. After emergent sternotomy and during the initiation of cardiopulmonary bypass, the mass was no longer echocardiograph

SUBMITTER: El-Sayed Ahmed MM 

PROVIDER: S-EPMC4378050 | biostudies-literature | 2015 Feb

REPOSITORIES: biostudies-literature