Carrel T, Jenni R, Schmid E R, Vorburger C, Largiadèr F, Turina M
Département de chirurgie, Hôpital universitaire Zurich.
Schweiz Med Wochenschr. 1991 Oct 5;121(40):1460-4.
We report the case of a 53-year-old woman with renal cell carcinoma extending into the inferior vena cava and through the tricuspid valve into the right ventricle. Successful total removal was performed with the aid of cardiopulmonary bypass. The rarity of this case prompted a review of the literature in which only the involvement of right atrium in this type of tumor was found. Review of our own experience with extracorporal circulation in non-cardiac procedures demonstrates that an aggressive therapeutic approach, requiring operations of escalating magnitude and multidisciplinary surgical treatment, can salvage patients who otherwise might not be considered for operation.
我们报告了一例53岁女性肾细胞癌病例，肿瘤延伸至下腔静脉，并通过三尖瓣进入右心室。在体外循环辅助下成功进行了肿瘤全切。该病例的罕见性促使我们回顾文献，发现此类肿瘤仅累及右心房。回顾我们自身在非心脏手术中体外循环的经验表明，积极的治疗方法，即需要逐步扩大手术规模并采用多学科手术治疗，能够挽救那些原本可能不被考虑手术的患者。
