OBJECTIVE: To evaluate early and long-term results of radical surgical @entity1358 ( @entity1358 ) with @entity5 thrombus (TT) in the inferior vena cava (IVC) and right atrium (RA). METHODS: The study included five @entity1 with @entity1358 with TT in IVC and right atrium, operated from January 2004 to September 2009 in the Institute for @entity65 "Dedinje", Belgrade, Serbia. All @entity1 underwent atrial and caval thrombectomy with the use of normothermic cardiopulmonary bypass (CPB) and the radical nephrectomy, by a joint cardiovascular and urological team. After the surgery, @entity1 were evaluated every 3 months for the first year, every 6 months for the next 2 years, and yearly thereafter. The mean follow-up was 32.6 months (range: 7-67 months). RESULTS: There were no per-operative @entity887 and no in-hospital deaths. Two @entity1 developed @entity5 recurrence during a mean time of 5 months and died within 1 year after the surgery. The three remaining @entity1 are alive (mean follow-up: 48 months) and without the evidence of @entity5 recurrence or @entity3 . No @entity1 received adjuvant therapy. CONCLUSIONS: @entity1 with @entity1358 and the extension of TT in IVC and right atrium need a multidisciplinary surgical strategy. Atrial and caval @entity5 thrombectomy can be performed safely and effectively, with a low complication rate, using normothermic CPB. Long-term results are promising; however, larger prospective multicentre studies are necessary.

Renal tumor with XXXX thrombus in inferior vena cava and right atrium: the report of five cases with long-term follow-up.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['removal of renal cell cancer', 'RCC'] @entity887 :: ('MESH:D004617', 'Disease') :: ['embolism'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity65 :: ('MESH:D002318', 'Disease') :: ['Cardiovascular disease']
@entity5 :: (MESH:D009369,Disease) :: ['tumor']
