Successful Removal of Large Renal Mass Extending to Heart: Overcoming Complex Challenges at Metro Hospital, Noida

By Dr. Kapil Singhal, Dr. Ashutosh Kumar Singh, Dr. Sameer Gupta in Metro Hospital and Heart Institute, Sector 11, Noida

In a remarkable medical achievement, a patient presented with a large right renal mass that had extended to the inferior vena cava, reaching up to the right atrium of the heart. Complicating matters further, there was thrombosis in the external iliac vein, inferior vena cava, opposite renal vein, and liver veins. The surgical team at Metro Hospital faced a daunting challenge due to the risk of significant bleeding and associated complications.

A meticulous plan was devised, and the patient underwent a crucial procedure called Right Renal artery angioembolization, skillfully performed by Dr. Sameer Gupta, an interventional cardiologist & endovascular specialist. This procedure effectively blocked the blood supply to the right kidney and the tumor.

The following day, a major surgery took place, led by senior urologist Dr. Ashutosh Singh and his team. The operation involved the removal of the right renal cancer, along with the right kidney, tumor, and the portion extending into the inferior vena cava and heart. To ensure the patient’s safety, the surgery was performed under cardio-pulmonary bypass.

The complex surgery was a resounding success, thanks to the expertise and coordination of the surgical team. Post-operatively, the patient received dedicated care in the ICU, overseen by Dr. Kapil Singhal Head Critical Care and his team along with Dr Ashutosh Singh.

Remarkably, the patient experienced a smooth recovery and was discharged in a stable condition. This extraordinary case exemplifies the exceptional capabilities of the medical professionals at Metro Hospital in tackling complex and life-threatening conditions, providing hope and healing to patients in their most challenging moments.