Surgical management of renal cell carcinoma with extension into the inferior vena cava and right atrium: A case report
Management of RCC with RA extension requires precise assessment of thrombus level, morphology, and metastatic status. In selected Mayo grade 4 cases without wall adhesion, friable thrombus, or valve involvement, CPB without DHCA is a safe alternative, minimizing perioperative morbidity. DHCA should be prioritized when adhesion, friability, or valve extension is present.
Authors
- Agus Rizal Ardy Hariandy Hamid (ORCID: https://orcid.org/0000-0002-7538-2811)
- David Hutagaol
- Renaldi Prasetio (ORCID: https://orcid.org/0000-0001-9669-7284)
- Muhammad Arza Putra (ORCID: https://orcid.org/0000-0002-1584-0403)
- Konda Kinanti Muroso
- Fakhri Ramhan
Institutions
- University of Indonesia (ID)
- Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (ID)
Publication Details
- Journal
- International Journal of Surgery Case Reports
- Published
- 2025-10-26
- DOI
- https://doi.org/10.1016/j.ijscr.2025.112117
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00