Author(s)

Rajiv Kumar Sethia¹, Aakib Hamid Charag^1*, Sidhu Sudeep Singh², Nilesh Nirmal Agarwal², Pankaj Ingole³

¹Department of Urology and Kidney Transplant, Asian Institute of Medical Sciences, Faridabad, Haryana, India.
²Department of Cardiac Surgeon, Metro Hospital, Faridabad, Haryana, India.
³Department of Cardiac Anasthesia, Metro Hospital, Faridabad, Haryana, India.

A renal mass with level Level IV IVC thrombus is usually managed with radical nephrectomy and IVC thrombectomy. This procedure requires the assistance of a cardiac surgeon and is usually done under complete cardiopulmonary bypass. However, the use of cardiopulmonary bypass is associated with reduced cardiac venous return and can consequently decrease cardiac output, adversely affecting haemo-dynamic stability and systemic arterial perfusion. This can lead to relative ischemia of the abdominal viscera, lower limbs and kidneys. We report a case where radical nephrectomy with IVC thrombectomy was done under venovenous bypass, thus avoiding the complications associated with the cardiopulmonary bypass.

Nephrectomy, IVC Thrombus, Cardiopulmonary Bypass, Venovenous Bypass

Sethia, R. , Charag, A. , Singh, S. , Agarwal, N. and Ingole, P. (2022) Right Radical Nephrectomy with Type-IV IVC Tumor Thrombectomy Using Venovenous Bypass Instead of Cardiopulmonary Bypass—A Case Report. Open Journal of Urology, 12, 589-595. doi: 10.4236/oju.2022.1212057.