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Radical nephrectomy with ivc thrombectomy (level-III) conducted on veno-veno bypass
International Brazilian Journal of Urology
We report a 43 year old man who was diagnosed with a level-I thrombus and was managed on oral sunitinib for two months by a community Urologist. The thrombus progressed to a level-III and he subsequently developed a pulmonary embolus, which required oral anticoagulation. He was then referred to our facility for definitive surgical care. A computed tomography scan demonstrated a 12 by 15 centimeter right renal mass and on magnetic resonance venography of the abdomen a tumor-thrombus extendingdoi:10.1590/s1677-55382010000100035 fatcat:uz5ycu7hrjf5zgpicc2piigy3e