Renal carcinoma infiltrating inferior vena cava and combined valvular heart disease - one-stage uro-cardiological procedure: a case report

Abstract

Standard treatment of patients with coexisting cardiac and non-cardiac diseases includes two separate operations. We report a case of 55-year-old man with combined valvular heart disease and renal carcinoma infiltrating inferior caval vein, who underwent one-stage cardio-urologic procedure. In the first step, mitral and tricuspid valvuloplasty were performed by cardiac surgeons. Then, urologists performed radical nephrectomy and thrombectomy. The postoperative course was uneventful. In twelve months follow-up the patient shows no signs of reccurrence and he had no symptoms of cardiac disease. To the best of our knowledge such a case has never been reported before in the literature.

Combined Aortic Valve Replacement and Renal Cell Carcinoma Thrombectomy

“…Franke et al 9 describes a 1-stage procedure in which a level III tumor resection was done in the same setting as coronary revascularization. Antoniewicz et al 10 reported a level III thrombectomy in the setting of mitral and tricuspid valve repairs. Unlike our case, the cardiac procedures were performed first in these scenarios.…”

“…Unlike our case, the cardiac procedures were performed first in these scenarios. [8][9][10] (Wickey et al 8 describe the completion of the proximal coronary anastomosis on rewarming following thrombectomy on DHCA. 8…”