Fiche publication
Date publication
janvier 2022
Journal
The Annals of thoracic surgery
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BACHELLIER Philippe
Tous les auteurs :
Addeo P, Mazzucotelli JP, Bachellier P
Lien Pubmed
Résumé
Direct intracardiac extensions by abdominal malignancies represent a rare but challenging situation. Removal of the intracardiac extension requires cardiopulmonary bypass with systemic anticoagulation, which could potentially increase the risk of bleeding if associated with liver resection. We describe a two-stage surgical approach for malignancy with intracardiac extension in a high-risk situation. Atrial thrombectomy was performed first, followed by a right portal vein embolization. Four months after cardiac surgery, we performed a right hepatectomy extended to segment 1, the right adrenal gland, and the retrohepatic inferior vena cava under veno-venous bypass. The advantages and drawbacks of this approach are discussed.
Mots clés
Adrenocortical carcinoma, atrial thrombectomy, hepatectomy
Référence
Ann Thorac Surg. 2022 Jan 22;:
