Inferior Vena Cava Tumor Research Articles

Right hepatic lobectomy and removal of inferior vena caval tumor embolus in a patient with hepatocellular carcinoma, using veno-venous bypass while preserving perfusion in the remnant liver: A case report

We describe a successful hepatectomy and the removal of a tumor embolus in a 43-year-old woman with hepatocellular carcinoma occupying the right lobe extending to the right branch of the portal vein and the inferior vena cava (IVC). Intraoperative echography revealed the tumor embolus in the IVC to originate from the main tumor via the right inferior hepatic vein, which extended cephalad from the confluence of the right hepatic vein to the IVC. Right hepatc lobectomy was performed via the anterior approach. Using femoro-axillary veno-venous bypass, we opened the IVC at the root of the inferior right hepatic vein to remove the tumor embolus after oblique clamping of the IVC between the right and middle hepatic veins was carried out to preserve perfusion in the remnant liver. Preserving perfusion in the remmant liver in radical hepatectomy for hepatocellular carcinoma with tumor embolism in the IVC appears to be a safe and advantageous technique in patients with poor liver reserve.

Retroperitoneal tumors with vena caval extension: a multidisciplinary approach.

In cases of retroperitoneal tumor with extension to the inferior vena cava (IVC), complete resection improves survival, but may require cardiopulmonary bypass (CPB) and hypothermic circulatory arrest (HCA). Since 1985, eight patients at our institution have had complete resection of retroperitoneal tumors with IVC or right atrial involvement. Preoperative evaluation included intravenous pyelography, computed tomography of the chest and abdomen, renal arteriography, and venography or magnetic resonance imaging of the IVC. Operative technique was determined primarily by the extent of IVC or RA involvement and included combined median sternotomy and laparotomy, control of the intrapericardial IVC, and radical tumor resection. IVC tumor thrombectomy was done using either temporary vascular occlusion, CPB, or CPB with HCA. Complete resection for improved survival of retroperitoneal tumors with IVC extension is technically feasible with acceptable morbidity and mortality rates. A multidisciplinary approach allows optimal management of these extensive tumors.

Renal Vein and Inferior Vena Cava Tumor Thrombus in Renal Cell Carcinoma

Renal cell carcinoma has a propensity to extend as tumor thrombus into the renal vein and inferior vena cava (IVC). The preoperative assessment for the presence and extent of renal vein and IVC tumor thrombus is important for planning appropriate surgical resection. Imaging procedures [CT, ultrasound (US), MR, venacavography] were correlated with surgical findings and pathology in 431 consecutive patients who had a radical nephrectomy for renal cell carcinoma. Ninety-nine (23%) patients had tumor thrombus extending at least into the main renal vein. Of these, 29 had tumor thrombus extending within the IVC. Patients were classified into two groups based on the surgical extent of tumor thrombus. Group A patients had no tumor thrombus or had tumor thrombus only in the renal vein proximal to the site of surgical ligation. Group B patients had tumor thrombus that extended to or beyond the distal renal vein at the site of surgical ligation. Forty-one patients had Group B tumor thrombus. Group B tumor thrombus was not seen in a renal cell carcinoma that was smaller than 4.5 cm. The sensitivity of CT for detecting Group B tumor thrombus was 79% and that of US was 68%. However, a much higher percentage of US examinations were technically indeterminate. In the patients who had either MR or venacavography, both imaging procedures were 100% sensitive for detecting group B tumor thrombus. Magnetic resonance imaging and venacavography appear to be the most sensitive means of identifying tumor thrombus.

Cavoatrial tumor thrombectomy using cardipulmonary bypass without circulatory arrest

Of 29 patients with inferior vena caval tumor thrombus, 14 with supradiaphragmatic extension were deemed suitable for operation. Patients (age, 7.5 to 70 years) had renal cell carcinoma (n = 8), Wilms' tumor (n = 2), transitional cell carcinoma (n = 1), and adrenal carcinoma (n = 3). Seven patients had stage III disease, and 7 patients had stage IV disease. Two patients (group A) had unresectable disease at exploratory celiotomy, 4 patients (group B) underwent tumor thrombectomy without cardiopulmonary bypass, and cardiopulmonary bypass was employed in 8 patients (group C). Three of 8 group C patients had Budd-Chiari syndrome at diagnosis. Cardiopulmonary bypass with moderate hypothermia, and inferior vena caval interruption (clip or filter), was employed in all patients. There were no perioperative deaths. Transient neurological impairment was observed postoperatively in 2 patients. Coagulopathy developed in 1 patient who had hepatic encephalopathy and Budd-Chiari syndrome preoperatively and in another patient in whom protamine could not be administered. No patient had acute renal failure requiring hemodialysis. Median survival is 41 and 17 months in groups B and C, respectively. Some authors have advocated profound hypothermia and circulatory arrest in these patients. We find that satisfactory visualization and excision can be performed with cardiopulmonary bypass and moderate hypothermia, avoiding potential renal, hepatic, neurological, and septic complications associated with circulatory arrest.

Abdominal neuroblastoma with inferior vena caval tumor thrombus: Report of three cases (one with right atrial extension)

Three children with abdominal neuroblastomas and inferior vena caval tumor thrombi are reported.

Leiomyosarcoma of the Inferior Vena Cava: Report of Two Cases and Review of the Literature

Leiomyosarcoma of the Inferior Vena Cava: Report of Two Cases and Review of the Literature

Intravascular Permeation of Uterine Stromal Endometriosis: Case Report

A case of inferior vena caval (IVC) tumor penetration and obstruction, twenty years after treatment of uterine stromal endometriosis (low-grade stro mal sarcoma) is presented.

Ultrasound features of tumour thrombus in the IVC in retroperitoneal tumours.

Tumour invasion of the inferior vena cava (IVC) is a complication of retroperitoneal tumours that can be identified at the time of ultrasound B scanning. We have recognized nine patients with proven IVC tumour thrombus from such tumours and have noted several common ultrasound features. Six of these cases were associated with renal carcinoma, two with metastatic teratoma and one with rhabdomyosarcoma. The typical appearance included abnormal echogenic solid material in the lumen of the vessel. In sagittal section the anterior wall was domed as it stretched over the thrombus, and on real time scanning there was loss of the normal venous pulsations. Although similar abnormalities occur with non-tumour thrombus, the presence of these typical features in association with a retroperitoneal tumour is likely to represent tumour invasion of the IVC, an important observation for accurate staging and subsequent management.

Case report of stenosis of the vena cava with vena caval and hepatic vein thrombosis reto trauma.

Case Reports1 July 1952CASE REPORT OF STENOSIS OF THE VENA CAVA WITH VENA CAVAL AND HEPATIC VEIN THROMBOSIS RELATED TO TRAUMARAYMOND D. LITTLE, M.D., P. O'B. MONTGOMERY, M.D.RAYMOND D. LITTLE, M.D.Search for more papers by this author, P. O'B. MONTGOMERY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-37-1-197 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptApproximately 115 cases of the Budd-Chiari syndrome have been reported to date. The most common causes of hepatic vein thrombosis are intraabdominal malignant disease, inflammatory disease and blood dyscrasias.1-14Trauma is thought by some to be a rare cause. Stenosis of the inferior vena cava is not a common associated finding. In 1906, Sternberg reported a case of stenosis of the inferior vena cava at the level of its hepatic portion with thrombosis of the hepatic vein.8Nishihowa in 1918 reported three cases with stenosis of the cava as it passed through the diaphragm, and two cases of stenosis below...Bibliography1. AltschuleWhite MG: Chiari's syndrome in patient with polycythemia vera; report of case, New England J. Med. 220: 1030, 1939. CrossrefGoogle Scholar2. ArmstrongCarnes CDWH: Observation of hepatic veins (Chiari's disease); report of 5 cases, Am. J. M. Sc. 208: 470, 1944. CrossrefGoogle Scholar3. BaehrKlemperer GP: Thrombosis of portal and of hepatic veins, M. Clin. North America 14: 391, 1930. Google Scholar4. Carcinoma of pylorus, infiltrating duodenum and mesentery, Cabot case 29191, New England J. Med. 228: 620, 1943. Google Scholar5. Cholangitis, with abscess formation and thrombosis of hepatic veins, Cabot case 27431, New England J. Med. 225: 661, 1941. CrossrefGoogle Scholar6. Cole NB: Comments on case of polycythemia rubra vera with autopsy, M. Clin. North America 16: 1255, 1933. Google Scholar7. HallockWatsonBerman PCJL: Primary tumor of inferior vena cava, with clinical features suggestive of Chiari's disease, Arch. Int. Med. 66: 50, 1940. CrossrefGoogle Scholar8. Hoover CF: Obstruction of hepatic veins, J. A. M. A. 74: 1753, 1920. CrossrefGoogle Scholar9. JacobsonGoodpasture VCEW: Occlusion of the entire inferior vena cava by hypernephroma, with thrombosis of the hepatic vein and its branches, Arch. Int. Med. 22: 86, 1918. CrossrefGoogle Scholar10. KahnSpring SM: Thrombosis of the hepatic veins—Chiari's syndrome; report of a case with biopsy and venous pressure determination, Ann. Int. Med. 14: 1075, 1940. LinkGoogle Scholar11. SimondsCallaway JPJW: Anatomical changes in livers of dogs following mechanical constriction of hepatic veins, Am. J. Path. 8: 159, 1932. MedlineGoogle Scholar12. Sohval AR: Hepatic complications in polycythaemia vera, with particular reference to thrombosis of hepatic and portal veins and hepatic cirrhosis, Arch. Int. Med. 62: 925, 1938. CrossrefGoogle Scholar13. KelseyComfort MPMW: Occlusion of hepatic veins; review of 20 cases, Arch. Int. Med. 75: 175, 1945. CrossrefGoogle Scholar14. Thompson RB: Thrombosis of the hepatic veins; the Budd-Chiari syndrome, Arch. Int. Med. 80: 602, 1947. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication December 18, 1950.From the Veterans Administration Hospital, McKinney, Texas, and Southwestern Medical School of the University of Texas, Dallas, Texas.Reviewed in the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the authors are the result of their own study and do not necessarily reflect the opinion or policy of the Veterans Administration. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPost traumatic inferior vena cava thrombosis: A case report and review of literatureThrombose post-traumatique de la veine cave inférieure.Inferior Vena Cava Syndrome Resulting from a Posttraumatic Intrahepatic BilomaBudd-Chiari syndrome resulting from intrahepatic IVC compression secondary to blunt hepatic traumaBudd-Chiari syndromePosttraumatic Budd-Chiari Syndrome Treated with Thrombolytic Therapy and AngioplastyBlunt traumatic rupture of the right hemidiaphragm and Budd-Chiari syndromePosttraumatic hepatic vein thrombosis (Budd-Chiari syndrome) in a childBudd-Chiari Syndrome Associated with Protein-Losing EnteropathyThrombosis of the Inferior Vena Cava and Hepatic Veins (Budd-Chiari Syndrome)MILTON R. HALES, M.D., JAMES H. SCATLIFF, M.D.ACUTE BUDD-CHIARI SYNDROME SECONDARY TO INTRAHEPATIC HEMATOMA FOLLOWING BLUNT ABDOMINAL TRAUMA: TREATMENT BY OPEN INTRACARDIAC SURGERYChiari's disease and the Budd-Chiari syndromeBudd-Chiari's Syndrome Diagnosed by Means of Phlebography in a Case of a Retroperitoneal SarcomaCHIARI'S DISEASEBUDD-CHIARI SYNDROME (OCCLUSION OF THE HEPATIC VEINS): SEVEN CASES*EDDY D. PALMER 1 July 1952Volume 37, Issue 1Page: 197-203KeywordsBloodInferior vena cavaStenosisThrombosisVeins Issue Published: 1 July 1952 PDF downloadLoading ...