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JYMS : Journal of Yeungnam Medical Science

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HOME > J Yeungnam Med Sci > Volume 24(2 Suppl); 2007 > Article
Case Report Surgical Treatment of Renal Cell Carcinoma with Acute Pulmonary Embolism Using Deep Hypothermic Circulatory Arrest -A Case Report-
Dong Hyup Lee1, Dong Chun Park2
Journal of Yeungnam Medical Science 2007;24(2 Suppl):S731-736
Published online: December 31, 2007
1Department of Thoracic and Cardivascular Surgery, College of Medicine, Yeungnam University, Daegu, Korea
2Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea
Corresponding author:  Dong Hyup Lee, Tel: (053) 620-3883, Fax: (053) 626-8660, 
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Renal cell carcinoma occasionally invades the inferior vena cava and rarely extends to the right atrium and occurred massive pulmonary embolism. A healthy 54-year-old man presented to the emergency room with anterior chest pain, dyspnea and hypotension from which he had been suffering for several hours. We diagnosed him as left renal cell carcinoma with acute both pulmonary arteries embolism. The patient underwent a complex surgical procedure in which left radical nephrectomy, inferior vena cava thrombectomy and both pulmonary arteries thromboembolectomy under deep hypothermic circulatory arrest. Total circulatory arrest time was 44 minutes. We should use many inotropic agents for weaning of cardiopulmonary bypass. The patient had many postoperative complications including of acute renal failure, respiratory distress and sepsis. He died from septic shock and multi organ failure at 36th postoperative day.

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