Migration of a tumor thrombus promptly detected by transesophageal echocardiography during radical nephrectomy concomitant with inferior vena cava thrombectomy: a case report
- Kyungmi Kim Jun-Young Park Jihion Yu Jin Young Chon Sukyung Chung Jai-Hyun Hwang Young-Kug Kim
- 조선대학교 의학연구원
- Medical Biological Science and Engineering
- 제3권 제1호
- 등재여부 : KCI등재후보
- 7 - 11 (5 pages)
A 60-year-old man with a 12 cm mass involving the right kidney and a renal vein tumor thrombus extending to the intrahepatic inferior vena cava (IVC), was scheduled for a radical nephrectomy concomitant with an IVC thrombectomy. During the operation, through intraoperative transesophageal echocardiography (TEE) monitoring, a migrating tumor thrombus was promptly detected. After the operation, a filling defect in the posterior basal segmental or subsegmental pulmonary arteries of the lower lobe of the right lung was observed on chest computed tomography. Intraoperative TEE provides additional information to help guide the surgical intervention and medical treatment.