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[Right atrial and ventricular thrombus formation in advanced left-side hypernephroma]
Deutsche Medizinische Wochenschrift (1946)
|August 22, 1986
Summary
A rare case of hypernephroma (kidney cancer) presented with extensive tumor thrombus in the inferior vena cava, leading to right heart failure and fatal pulmonary embolism in a 70-year-old woman.
Area of Science:
- Oncology
- Cardiology
- Radiology
Background:
- Hypernephroma, a type of kidney cancer, can lead to extensive thrombus formation.
- Inferior vena cava involvement by tumor thrombus is a serious complication.
Observation:
- A 70-year-old female presented with a right atrial mass, tricuspid valve occlusion, and inferior vena cava thrombo-embolism.
- Imaging confirmed a left renal tumor, extensive vena cava thrombotic occlusion, and right atrial/ventricular masses.
Findings:
- The patient developed right heart failure and spontaneous recanalization of the oval foramen.
- Despite imaging confirmation, the patient declined surgery, leading to rapid tumor spread and fatal pulmonary embolism.
Implications:
- This case highlights the critical role of echocardiography and CT in diagnosing rare hypernephroma presentations.
- Early recognition of vena cava tumor thrombus is crucial for patient management and prognosis.
- The study underscores the potential for hypernephroma to metastasize via extensive thrombus formation, impacting cardiac function.