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Techniques to avoid hypothermic circulatory arrest in the management of renal tumor with right atrium extension in children

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Abstract

Clear cell sarcoma of the kidney is a rare variety of renal tumor accounting for less than 5% of all pediatric renal tumors. Cardiopulmonary bypass along with hypothermic circulatory arrest is frequently used for management of tumor thrombus extending into supra-hepatic inferior vena cava and right atrium. In this paper, we present a strategy of avoiding circulatory arrest and hypothermia and thereby fast-tracking the recovery in managing a case of clear cell sarcoma of the kidney in a 3.5-year-old child with tumor thrombus extending into the right atrium.

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References

  1. Huang C-C, Cutcliffe C, Coffin C, Sorensen PHB, Beckwith JB, Perlman EJ. Classification of malignant pediatric renal tumors by gene expression. Pediatr Blood Cancer. 2006;46:728–38.

  2. Sebire NJ, Vujanic GM. Paediatric renal tumours: recent developments, new entities and pathological features. Histopathology. 2009;54:516–28.

    Article  Google Scholar 

  3. Dome JS, Cotton CA, Perlman EJ, et al. Treatment of anaplastic histology Wilms’ tumor: results from the fifth National Wilms’ Tumor Study. J Clin Oncol. 2006;24:2352–8.

    Article  Google Scholar 

  4. Lall A, Pritchard-Jones K, Walker J, et al. Wilms’ tumor with intracaval thrombus in the UK Children’s Cancer Study Group UKW3 trial. J Pediatr Surg. 2006;41:382–7.

    Article  Google Scholar 

  5. Lodge AJ, Jaggers J, Adams D, Rice HE. Vascular control for resection of suprahepatic intracaval Wilms’ tumor: technical considerations. J Pediatr Surg. 2000;35:1836–37.

  6. Shamberger RC, Ritchey ML, Haase GM, et al. Intravascular extension of Wilms tumor. Ann Surg. 2001;234:116–21.

    Article  CAS  Google Scholar 

  7. Zigman A, Shen I. Clear cell sarcoma of the kidney with cavo-atrial tumor thrombus: complete resection in a child. J Pediatr Surg. 2006;41:1464–66.

  8. Gaudino M, Lau C, Cammertoni F, et al. Surgical treatment of renal cell carcinoma with cavoatrial involvement: a systematic review of the literature. Ann Thorac Surg. 2016;101:1213–21.

  9. Chowdhury UK, Mishra AK, Seth A, et al. Novel techniques for tumor thrombectomy for renal cell carcinoma with intraatrial tumor thrombus. Ann Thorac Surg. 2007;83:1731–6. https://doi.org/10.1016/j.athoracsur.2006.12.055.

  10. Khawaja AR, Sofi K, Dar Y, et al. Surgical outcome of renal cell carcinoma with tumor thrombus extension into inferior vena cava and right atrium (beating heart removal of level 4 thrombus): a challenging scenario. J Kidney Cancer VHL. 2020;7:11–7.

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Acknowledgements

We would like to acknowledge the help of Ms. Urjashee Chowdhury for the help with schematic illustration (Figure 3).

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Authors and Affiliations

  1. Department of Pediatric Cardiac Sciences, Sir Gangaram Hospital, New Delhi, India

    Ajaykumar Raghunath Pandey, Reena Joshi, Neeraj Agarwal, Mridul Aggarwal & Raja Joshi

  2. Department of Pediatric Surgery, Sir Gangaram Hospital, New Delhi, India

    Satish Agarwal

Authors
  1. Ajaykumar Raghunath Pandey
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  2. Satish Agarwal
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  3. Reena Joshi
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  4. Neeraj Agarwal
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  5. Mridul Aggarwal
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  6. Raja Joshi
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Correspondence to Raja Joshi.

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All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Pandey, A.R., Agarwal, S., Joshi, R. et al. Techniques to avoid hypothermic circulatory arrest in the management of renal tumor with right atrium extension in children. Indian J Thorac Cardiovasc Surg 38, 92–95 (2022). https://doi.org/10.1007/s12055-021-01256-4

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  • DOI: https://doi.org/10.1007/s12055-021-01256-4

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