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영남의대학술지 Vol.24_No.2 Suppl. P.S731-736, Dec. 2007

Case Report

심도 저체온 순환 정지를 이용한 급성 폐 색전증이 동반된 신세포암의 수술적 치료 -1 예 보고-

Surgical Treatment of Renal Cell Carcinoma with Acute Pulmonary Embolism Using Deep Hypothermic Circulatory Arrest -A Case Report-

이동협, 박동춘*
영남대학교 의과대학 흉부외과학교실, 비뇨기과학교실*
책임저자:이동협, 대구광역시 남구 대명동 317-1, 영남대학교 의과대학 흉부외과학교실
Tel: (053) 620-3883, Fax: (053) 626-8660
E-mail: dhlee@med.yu.ac.kr

December 30, 2007

Abstract

Renal cell carcinoma occasionally invades the inferior vena cava and rarely extends to the right atrium and occurred massive pulmonary embolism. A healthy 54-year-old man presented to the emergency room with anterior chest pain, dyspnea and hypotension from which he had been suffering for several hours. We diagnosed him as left renal cell carcinoma with acute both pulmonary arteries embolism. The patient underwent a complex surgical procedure in which left radical nephrectomy, inferior vena cava thrombectomy and both pulmonary arteries thromboembolectomy under deep hypothermic circulatory arrest. Total circulatory arrest time was 44 minutes. We should use many inotropic agents for weaning of cardiopulmonary bypass. The patient had many postoperative complications including of acute renal failure, respiratory distress and sepsis. He died from septic shock and multi organ failure at 36th postoperative day.

Key Words: Renal cell carcinoma, Acute pulmonary embolism, Deep hypothermic circulatory arrest

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