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CASE REPORT
Year : 2001  |  Volume : 2  |  Issue : 2  |  Page : 69-72

Combined one-stage coronary surgery and extended radical nephrectomy: Case report and review of the literature


1 Departments of Cardiothoracic Surgery, University Hospital of Wales, Cardiff, United Kingdom
2 Department of Cardiology, University Hospital of Wales, Cardiff, United Kingdom
3 Department of Urology, University Hospital of Wales, Cardiff, United Kingdom

Correspondence Address:
Rune Haaverstad
Department of Cardiothoracic Surgery, University Hospital of Trondheim, N-7006 Trondheim
United Kingdom
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Source of Support: None, Conflict of Interest: None


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Two patients with renal cell carcinoma that extended into the inferior vena cava (IVC) to the level of the hepatic veins and also had coronary artery disease are presented. Both patients underwent a onestage combined coronary revascularization and extended right nephrectomy with the use of cardiopulmonary bypass, deep hypothermia and circulatory arrest. When pre-operative angioplasty is not feasible, a one-stage combined operation for ischaemic heart disease and advanced renal carcinoma with IVC extension can be performed safely.


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