Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Surgical Resection of Renal Cell Carcinoma Extended to the Inferior Vena Cava Using Pump Driven Veno-venous Bypass

정맥-정맥간 우회술을 이용하여 하대정맥까지 확장된 콩팥세포암종의 수술적 치료 1예

  • Park Han Gyu (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Choi Chang Woo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Lee Jae Wook (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Her Keun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Shin Hwa Kyun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital) ;
  • Won Yong Soon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital)
  • 박한규 (순천향대학교부속 부천병원 흉부외과) ;
  • 최창우 (순천향대학교부속 부천병원 흉부외과) ;
  • 이재욱 (순천향대학교부속 부천병원 흉부외과) ;
  • 허균 (순천향대학교부속 부천병원 흉부외과) ;
  • 신화균 (순천향대학교부속 부천병원 흉부외과) ;
  • 원용순 (순천향대학교부속 부천병원 흉부외과)
  • Published : 2006.01.01
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Abstract

In a 40 year-old man who has complained of epigastric pain and dyspnea for 10 days including melena for 1 month, abdominal ultrasonography and computerized tomography revealed a large, solid mass in the right kidney and thrombus of inferior vena cava (IVC) that extended to the cavoatrial junction. Renal cell carcinoma was performed by percutaneous needle biopsy. IVC thromboembolectomy was performed using centrifugal pump driven venovenous bypass without cardiac arrest and cardiopulmonary bypass (CPB).

46세 남자가 특별한 문제없이 지내오던 중 내원 한달 전부터 발생된 흑색변과 10일 전부터 시작된 상복부 통증 및 호흡곤란을 주소로 내원하였다. 복부 초음파와 복부 전산화 단층촬영상 우측 콩팥세포암종과 하대정맥 폐색이 발견되어 우측 콩팥절제술과 정맥-정맥간 우회를 이용한 하대정맥 혈전색전 제거술을 시행받았다. 콩팥세포암종에 기인한 하대정맥 폐색시 심정지와 심페우회술을 사용하지않고 정맥관류의 차단 없이 비교적 간단하게 수술할 수 있는 방법으로 정맥-정맥간 우회술을 이용하여 수술 성공한 사례가 있어 보고하는 바이다.

Keywords

References

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