Research Article
Removal of the Tumor Thrombus from the Right Atrium without Extracorporeal Circulation: Emphasis on the Displacement of the Tumor Apex
Table 1
Characteristics of patients and tumors with atrial extension.
| | | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 |
| | Sex | M | F | M | F | M | | Age | 59 | 41 | 72 | 60 | 62 | | ECOG status | 0 | 2 | 1 | 1 | 0 | | GFR (mL/min) | 68.6 | 46.4 | 58.2 | 36.8 | 76.2 | | BMI (kg/m2) | 24.3 | 17.8 | 28.9 | 25.3 | 28.6 | | Lesion side | Right | Right | Right | Left | Left | | Tumor size (cm) | 6.5 | 30 | 10 | 18 | 10.2 | | TNM | pT3cN0M1 | pT4N0M1 | pT3cN0M0 | pT3cN0M0 | pT3cN0M0 | | Metastasis localization | Lungs | Lungs | − | − | | | Symptoms | Hematuria | Weight loss
Weakness
Pain | Hematuria
Dyspnea
Lower extremity swelling | Hematuria
Weakness | Hematuria | | Heart failure | − | − | + | + | − | | LVEF (%) | 55 | 57 | 48 | 44 | 56 | | Blood clot below tumor thrombus | − | + | + | − | − | | Thrombus maximal diameter (mm) | 32 | 38 | 63 | 17 | 13 | | Thrombus atrial part (mm) | Length-35
Width-30 | Length-15
Width-12 | Length-10
Width-10 | Length-10
Width-12 | Length-30
Width-10 | | Complete blood flow block in the IVC | + | + | + | − | − | | Tumor invasion into the IVC wall | − | + | + | + | − | | Follow-up (months) | 14 | 15 | 9 | 8 | 16 |
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