Nephroblastoma with Right Atrial Extension: Preoperative Diagnosis and Management

Publisher Website
Google Scholar
Abstract
A 14 yr old black boy, with a large nephroblastoma (Wilms'' tumor) of the right kidney, had preoperative identification of inferior vena caval and right atrial involvement. Renal arteriography revealed linear arterial channels in the anatomic distribution of the inferior vena cava and venography revealed total caval occlusion and a right atrial mass. Radical excision, using a cardiopulmonary bypass, resulted in a 6 mo. postoperative survival.