Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients

Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients Publisher Pubmed

Rahmanian M¹ ; Badkoubeh RS² ; Rasouli SJ³ ; Nowroozi MR³ ; Saberi K⁴ ; Salehi M⁴ ; Larti F² ; Tajaddini A⁵ ; Fatemian H⁶ ; Rad MR⁷ ; Dabaghi GG⁷ ; Malekhosseini H¹

Show Affiliations

1. Department of Cardiovascular Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Science, Tehran, Iran
2. Department of Cardiology, Tehran University of Medical Science, Tehran, Iran
3. Uro-Oncology Research Center, Tehran University of Medical Science, Tehran, Iran
4. Imam Khomeini Hospital Complex, Tehran University of Medical Science, Tehran, Iran
5. Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
6. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
7. School of Medicine, Isfahan University of Medical Science, Isfahan, Iran

Source: Asian Cardiovascular and Thoracic Annals Published:2023

Abstract

Background: The only beneficial treatment option for the management of inferior vena cava (IVC) tumor thrombus is complete tumor removal. The aim of this study was to report our experience in surgical and clinical outcomes in patients with tumor thrombosis in IVC. Methods: A retrospective chart review of patients who underwent surgical resection of IVC tumor at our institution over the past 10 years was performed. The patients were identified using a prospectively maintained database. Results: We identified 51 patients, the mean age was 53.4 ± 16.8 years, and 25.4% were female. They were divided into three groups based on tumor thrombosis level. Twenty patients (39.2%) required sternotomy, and cardiopulmonary bypass (CPB) was used in 19 (37.2%) patients, and 2 (3.9%) cases underwent coronary artery bypass graft. The perioperative complications were severe bleeding (3 patients), pulmonary embolism (2 patients), and duodenal perforation (1 patient). Three (5.8%) in-hospital deaths occurred, and all were due to severe abdominal bleeding. After a mean follow-up time of 46.5 ± 42.0 months, 29 (56.9%) patients were alive. The mean survival time was 75.2 ± 8.4 months. In multivariate analysis, higher age (p = 0.033) and male gender (p = 0.033) proved to be independent prognostic factors. Conclusions: Tumor thrombus extending to the IVC is a rare and challenging event. Although using CPB may be safe and result in long-term survival with acceptable function, excessive bleeding during surgery may limit the use of this method. © The Author(s) 2023.

Style	Citing Format
MLA	Rahmanian M, et al.. "Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients." Asian Cardiovascular and Thoracic Annals, vol. 31, no. 5, 2023, pp. 421-425.
APA	Rahmanian M, Badkoubeh RS, Rasouli SJ, Nowroozi MR, Saberi K, Salehi M, Larti F, Tajaddini A, Fatemian H, Rad MR, Dabaghi GG, Malekhosseini H (2023). Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients. Asian Cardiovascular and Thoracic Annals, 31(5), 421-425.
Chicago	Rahmanian M, Badkoubeh RS, Rasouli SJ, Nowroozi MR, Saberi K, Salehi M, Larti F, et al.. "Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients." Asian Cardiovascular and Thoracic Annals 31, no. 5 (2023): 421-425.
Harvard	Rahmanian M et al. (2023) 'Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients', Asian Cardiovascular and Thoracic Annals, 31(5), pp. 421-425.
Vancouver	Rahmanian M, Badkoubeh RS, Rasouli SJ, Nowroozi MR, Saberi K, Salehi M, et al.. Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients. Asian Cardiovascular and Thoracic Annals. 2023;31(5):421-425.
BibTex	@article{ author = {Rahmanian M and Badkoubeh RS and Rasouli SJ and Nowroozi MR and Saberi K and Salehi M and Larti F and Tajaddini A and Fatemian H and Rad MR and Dabaghi GG and Malekhosseini H}, title = {Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients}, journal = {Asian Cardiovascular and Thoracic Annals}, volume = {31}, number = {5}, pages = {421-425}, year = {2023} }
RIS	TY - JOUR AU - Rahmanian M AU - Badkoubeh RS AU - Rasouli SJ AU - Nowroozi MR AU - Saberi K AU - Salehi M AU - Larti F AU - Tajaddini A AU - Fatemian H AU - Rad MR AU - Dabaghi GG AU - Malekhosseini H TI - Cardiovascular Surgical Experiences of Ivc Tumor and Thrombus: Operative Strategies Based on 51 Consecutive Patients JO - Asian Cardiovascular and Thoracic Annals VL - 31 IS - 5 SP - 421 EP - 425 PY - 2023 ER -

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