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Primary Adrenal Melanoma With Inferior Vena Caval Thrombus

Annals of Thoracic Surgery, 12/10/2012

Avgerinos DV et al. – The authors report a primary adrenal melanoma discovered during an evaluation for pulmonary embolism. Tumor thrombus was present in the inferior vena cava extending into the right atrium. A complete resection was obtained using cardiopulmonary bypass and profound hypothermic circulatory arrest. Long–term survival with melanoma is still limited, regardless of the organ of origin.

Dimitrios V. Avgerinos (12/10/2012) comments:

This is the first report of a primary adrenal melanoma that presents with pulmonary embolism and IVC thrombus. It was a very challenging case, since we had to approach the thrombosed IVC both via a sternotomy and laparotomy, with deep hypothermic circulatory arrest. Aggressive approach is needed in similar cases in order to offer the best survival chance to the patient.

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