Renal cell carcinoma with caval thrombus extending to the right atrium in a horseshoe kidney: A unique surgical challenge

Graham F. Greene, Nabil K. Bissada, Rabii Hussein Madi

Research output: Contribution to journalArticle

3 Scopus citations


The surgical anatomy of a horseshoe kidney (HK) is unique in many ways, ranging from its anomalous circulation, shared renal parenchyma between the right and left renal moieties, and its anterior renal pelvis, to the fact that it obscures access to the vena cava and aorta. While renal cell carcinomas (RCCs) are known to occur in HKs, the surgical approach to an RCC with tumour thrombus extending to the right atrium has not been reported in the literature. We report an unusual presentation of RCC and the technical aspects of our successful experience with managing RCC of a HK extending to the inferior vena cava and right atrium.

Original languageEnglish (US)
JournalJournal of the Canadian Urological Association
Issue number5
Publication statusPublished - Oct 1 2009
Externally publishedYes


ASJC Scopus subject areas

  • Oncology
  • Urology

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