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KMID : 1147920200030010007
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Medical Biological Science and Engineering
2020 Volume.3 No. 1 p.7 ~ p.11
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Migration of a tumor thrombus promptly detected by transesophageal echocardiography during radical nephrectomy concomitant with inferior vena cava thrombectomy: a case report
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Kim Kyung-Mi
Park Jun-Young
Yu Ji-Hion
Chon Jin-Young
Chung Su-Kyung
Hwang Jai-Hyun
Kim Young-Kug
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Abstract
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A 60-year-old man with a 12 cm mass involving the right kidney and a renal vein tumor thrombus extending to the intrahepatic inferior vena cava (IVC), was scheduled for a radical nephrectomy concomitant with an IVC thrombectomy. During the operation, through intraoperative transesophageal echocardiography (TEE) monitoring, a migrating tumor thrombus was promptly detected. After the operation, a filling defect in the posterior basal segmental or subsegmental pulmonary arteries of the lower lobe of the right lung was observed on chest computed tomography. Intraoperative TEE provides additional information to help guide the surgical intervention and medical treatment.
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KEYWORD
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Venous thrombosis, Pulmonary embolism, Carcinoma, Renal cell, Echocardiography, Transesophageal
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