@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 = {Suppl 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.},
issn = {2227-8575}, url = {https://gs.amegroups.org/article/view/26790}
}