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Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus

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Abstract

Surgical management of malignant pheochromocytoma with tumor-induced venous obstruction involving the entrance to the right atrium is challenging. The risk of marked hypotension and hemodynamic instability following clamping of the vena cava is increased as a consequence of the sudden decrease in circulating catecholamines. The use of cardiac bypass, however is burdened with additional operating time and coagulopathy. The present report illustrates that veno-venous bypass is a valuable tool during resection of phenochromocytoma with a large vena caval tumor thrombus.

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Authors and Affiliations

  1. Department of Urology, University of Munich, Germany

    Raphaela Waidelich, Ulrike Müller-Lisse & Alfons Hofstetter

  2. Department of Anesthesiology, University of Munich, Germany

    Ernst Weninger

  3. Department of Hematology, Oncology, Immunology, Rheumatology, University of Tübingen, Germany

    Claudio Denzlinger

  4. Department of Urology and Andrology, St. Johanns-Spital Landeskrankenhaus, Salzburg, Austria

    Nikolaus Schmeller

Authors
  1. Raphaela Waidelich
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  2. Ernst Weninger
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  3. Claudio Denzlinger
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  4. Ulrike Müller-Lisse
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  5. Alfons Hofstetter
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  6. Nikolaus Schmeller
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Waidelich, R., Weninger, E., Denzlinger, C. et al. Use of veno-venous bypass for resection of malignant pheochromocytoma with vena caval thrombus. Int Urol Nephrol 34, 241–243 (2002). https://doi.org/10.1023/A:1023286917251

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  • DOI: https://doi.org/10.1023/A:1023286917251

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