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Surgical management of adrenal tumours extending into the right atrium

  
@article{GS26790,
	author = {Renata Greco and Irene Tsappa and Radu Mihai and Mario Petrou},
	title = {Surgical management of adrenal tumours extending into the right atrium},
	journal = {Gland Surgery},
	volume = {8},
	number = {1},
	year = {2019},
	keywords = {},
	abstract = {This paper discusses the surgical approach for the treatment of adrenal tumours extending into the right atrium (RA), using a cardio-pulmonary bypass (CPB) associated with deep hypothermic circulatory arrest (DHCA). Pre-operative planning and surgical steps are described in details. The association of CPB with hypothermic circulatory arrest (HCA) provides a bloodless operating field, direct intra-vascular vision, reduces the risk of embolization and allows extensive inferior vena cava (IVC) or RA repair in cases of infiltration of the vascular wall. Establishing a dedicated multidisciplinary team with experience in managing these challenging cases is fundamental to offer treatment to patients with advanced disease, who would otherwise risk being turned down for surgery. A close collaboration between general and cardiac surgeons and a deep understanding of the surgical procedure steps are fundamental to safely performing these procedures. We advocate centralising adrenal surgery in a small number of units with adequate multidisciplinary support.},
	url = {http://gs.amegroups.com/article/view/26790}
}