Release of the Inferior Vena Cava Ligament during Caval Thrombectomy Causing Tumor Thrombus EmbolizationJoshi S. · Gorin M.A. · Ciancio G.
aMiami Transplant Institute, Departments of bUrology and cSurgery, University of Miami Miller School of Medicine, and dJackson Memorial Hospital, Miami, Fla.; eJames Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Md., USA
Intraoperative tumor embolization is a rare complication during the surgical management of renal cell carcinoma with tumor thrombus of the inferior vena cava (IVC). We present a case of pulmonary tumor embolism which occurred during liver mobilization immediately following division of the IVC ligament. We hypothesize that this patient's IVC ligament acted as an external barrier to propagation of the tumor thrombus and that its release caused the tumor to rapidly expand leading to embolization. To our knowledge, this is the first report of a pulmonary tumor embolism occurring immediately following division of the IVC ligament.
Gaetano Ciancio, MD
Department of Surgery, Division of Transplantation
University of Miami Miller School of Medicine
POB 012440, Miami, FL 33101 (USA)
Received: September 14, 2012
Accepted: December 7, 2012
Published online: March 6, 2013
Number of Print Pages : 3
Number of Figures : 3, Number of Tables : 0, Number of References : 8
Vol. 90, No. 4, Year 2013 (Cover Date: May 2013)
Journal Editor: Wirth M.P. (Dresden), Porena M. (Perugia), Hakenberg O.W. (Rostock), Castro-Diaz D. (Santa Cruz de Tenerife), Wullich B. (Erlangen)
ISSN: 0042-1138 (Print), eISSN: 1423-0399 (Online)
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