SUCCESSFUL MANAGEMENT OF INTRACARDIAC EXTENSION OF TUMOR THROMBUS IN A PATIENT WITH ADVANCED NONSEMINOMATOUS GERM-CELL TESTICULAR CANCER

A young patient with testicular germ cell tumor presenting with inferi or vena cava thrombus extending into the right heart with free-floatin g thrombus in the right ventricle and a simultaneous epidural spinal c ord compression is presented. Due to the perceived high risk of emboli zation and the urgent need to begin systemic chemotherapy, he was mana ged with tumor thrombectomy utilizing cardiopulmonary bypass and hypot hermic circulatory arrest followed shortly thereafter by systemic chem otherapy. There were no perioperative complications, and he is alive a nd without recurrence 24 months following four cycles of systemic chem otherapy.