[HSF] Renal cell ca

[Nasser F. Abou'Seada]

what about your scientific hunches and speculations ?

NFA


On 6/4/07, Jacob Lavee, MD <jaylavee at netvision.net.il> wrote:
>
> We are currently collecting long-term follow up data on these patients in
> order to publish our technique. Stay tuned...
>
> Jay Lavee
>
> ----- Original Message -----
> From: Nasser F. Abou'Seada
> To: OpenHeart-L at lists.hsforum.com
> Sent: Monday, June 04, 2007 1:30 PM
> Subject: Re: [HSF] Renal cell ca
>
>
> 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
> >
> >
> >
> >
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC