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Case Reports
. 2002;34(2):241-3.
doi: 10.1023/a:1023286917251.

Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus

Raphaela Waidelich  1 , Ernst Weninger, Claudio Denzlinger, Ulrike Müller-Lisse, Alfons Hofstetter, Nikolaus Schmeller
Affiliations
Case Reports

Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus

Raphaela Waidelich et al. Int Urol Nephrol. 2002.

Abstract

Surgical management of malignant pheochromocytoma with tumor-induced venous obstruction involving the entrance to the right atrium is challenging. The risk of marked hypotension and hemodynamic instability following clamping of the vena cava is increased as a consequence of the sudden decrease in circulating catecholamines. The use of cardiac bypass, however is burdened with additional operating time and coagulopathy. The present report illustrates that veno-venous bypass is a valuable tool during resection of phenochromocytoma with a large vena caval tumor thrombus.

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