47 y.o. male with respiratory failure secondary to metastatic renal cell carcinoma with extension into the IVC and RA with associated fib and liver disease presented for an IVC thrombectomy, right nephrectomy and CPB with hypothermic circulatory arrest. The patient initially presented for symptoms of shortness of breath for the last 3 months when workup revealed a large right renal mass with metastases. The patient underwent a multidisciplinary procedure involving cardiothoracic, urology and general surgery teams complicated by post hypothermic circulatory arrest coagulopathy. This case discussion will focus on the intraoperatice management of an extensive invasive tumor resection.
Zhang L, Gill S. IVC thrombectomy. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.