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An obese 82-year-old woman with a history of hypertension and type 2 diabetes mellitus had had dyspnea on exertion and swelling of her legs for three to four months. Transthoracic echocardiography revealed a right atrial mass with extension into the inferior vena cava. Computed tomography of the chest and abdomen showed that the mass originated in the left kidney. The results of coronary angiography, ventilation–perfusion scanning, and bone scanning were normal. A radical left nephrectomy and excision of the right atrial mass were performed with the use of cardiopulmonary bypass. Intraoperative two-dimensional transesophageal echocardiography with an omniplane probe (Panel A) . . . [Full Text of this Article] |
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