Department of Cardiovascular Surgery, Atherosclerosis Prevention Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, I.R. Iran.
We describe a 62-year-old woman, a known case of advanced renal cell carcinoma with the extension of the tumor up to the involvement of the inferior vena cava (IVC) and the right atrium (RA). The patient complained of gross hematuria and peripheral edema. Echocardiography revealed near total occlusion of the IVC with a tumor at the site of the orifice of the RA in addition to a mobile mass in the RA protruding across the tricuspid valve. The patient underwent a successful surgical resection of the tumor at the IVC and RA junction under cardiopulmonary bypass. Patient had uneventful recovery and discharged 1 week later. (Iranian Heart Journal 2017; 18(2):50-52)