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- W2077295987 abstract "A 52-year-old woman who was a current smoker was admitted for thoracic pain. Transthoracic echocardiography revealed a right atrial tumor extending through the inferior vena cava (Figure 1, A). Computed tomography showed multiple pulmonary microembolisms. Magnetic resonance imaging demonstrated a renal tumor invading the inferior vena cava (Figure 1, B). Opening the right atrium exposed an atrial septal defect not noticed on preoperative imaging (Figure 2, A). Radical nephrectomy and thrombus resection were performed under deep hypothermic circulatory arrest (Figure 2, B).Figure 2A, A risk for paradoxic embolism was identified during surgery. Once the right atrium was opened, a 3-cm diameter ostium secundum atrial septal defect (black arrow), not observed during preoperative imaging tests, was discovered. B, Radical right nephrectomy and resection of the thrombus and tumor were performed during the same period of deep hypothermic circulatory arrest.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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- W2077295987 date "2015-04-01" @default.
- W2077295987 modified "2023-09-30" @default.
- W2077295987 title "Surgical resection of renal carcinoma with right atrial extension associated with an unnoticed large atrial septal defect" @default.
- W2077295987 doi "https://doi.org/10.1016/j.jtcvs.2014.11.005" @default.
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