Right Radical Nephrectomy with Type-IV IVC Tumor Thrombectomy Using Venovenous Bypass Instead of Cardiopulmonary Bypass—A Case Report

作     者：Rajiv Kumar Sethia Aakib Hamid Charag Sidhu Sudeep Singh Nilesh Nirmal Agarwal Pankaj Ingole Rajiv Kumar Sethia;Aakib Hamid Charag;Sidhu Sudeep Singh;Nilesh Nirmal Agarwal;Pankaj Ingole

作者机构：Department of Urology and Kidney Transplant Asian Institute of Medical Sciences Faridabad Haryana India Department of Cardiac Surgeon Metro Hospital Faridabad Haryana India Department of Cardiac Anasthesia Metro Hospital Faridabad Haryana India 

出 版 物：《Open Journal of Urology》 (泌尿学期刊（英文）)

年 卷 期：2022年第12卷第12期

页      面：589-595页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Nephrectomy IVC Thrombus Cardiopulmonary Bypass Venovenous Bypass 

摘      要：A renal mass with level Level IV IVC thrombus is usually managed with radical nephrectomy and IVC thrombectomy. This procedure requires the assistance of a cardiac surgeon and is usually done under complete cardiopulmonary bypass. However, the use of cardiopulmonary bypass is associated with reduced cardiac venous return and can consequently decrease cardiac output, adversely affecting haemo-dynamic stability and systemic arterial perfusion. This can lead to relative ischemia of the abdominal viscera, lower limbs and kidneys. We report a case where radical nephrectomy with IVC thrombectomy was done under venovenous bypass, thus avoiding the complications associated with the cardiopulmonary bypass.