[HSF] Renal cell ca

[Nasser F. Abou'Seada]

Interesting cases Jay, ... any follow up ?

NFA

On 5/31/07, Jacob Lavee, MD <jaylavee at netvision.net.il> wrote:
>
> Ed,
> I've done 6 such cases together with our urologists and they were all
> successful. In all cases we've gone on pump following initial abdominal
> preparation by the urologists and cooled the patients down to deep
> hypothermia. Once total circulatory arrest is initiated we've worked in
> parallel - me opening the RA and evacuating the tumor tissue from the RV, RA
> and down the IVC as far as I could get from inside the RA, while they opened
> the abdominal IVC and took out the rest of the tumor from below, until both
> our fingers could meet each others from inside the IVC. The rest of the
> operation is straight forward being completed by nephrectomy. In all these
> cases the urologists blessed me for providing them a clean and bloodless
> environment to clean the entire IVC and sometimes even into the iliacs.
>
> Jay Lavee
>
> From: Edward Bender
> To: OpenHeart-L
> Sent: Thursday, May 31, 2007 5:50 AM
> Subject: [HSF] Renal cell ca
>
>
> Here's tomorrow's interesting case.  60 year old insulin dependent
> diabetic hypertensive smoking female with hematuria.  She has a right
> renal cell carcinoma with tumor thrombus.  I had her cathed and she
> has normal coronaries.  Below are the relatively suboptimal CT scans
> and echo.  I've never had to go on bypass to resect one of these, but
> this one may be different.  There is extensive thrombus extending
> into the RV through the tricuspid valve.  There is retrograde
> thrombus into the left renal vein and the distal IVC and iliac vein.
> I plan on trying to pull this down from below, but will be ready to
> go on bypass if needed.  Any words of wisdom?  Below are selected
> pictures.
>
> Ed Bender, MD
>
>
>
>
> __________ NOD32 2299 (20070530) Information __________
>
> This message was checked by NOD32 antivirus system.
> http://www.eset.com
>
>
>
>
> ------------------------------------------------------------------------------
>
>
>
>
>
>
>
> ------------------------------------------------------------------------------
>
>
>
>
>
>
>
> ------------------------------------------------------------------------------
>
>
>
>
>
>
>
> ------------------------------------------------------------------------------
>
>
>
>
>
>
>
> ------------------------------------------------------------------------------
>
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>   OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
> OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>



--