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Utility of echocardiography in identifying right ventricular extension of Wilm's tumor
Author(s) -
Iyer Prasad,
Sibal Nidhi,
Chaudhari Milind,
Wood Katrina M.,
CampbellHewson Quentin
Publication year - 2015
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22174
Subject(s) - medicine , ventricle , tricuspid valve , intravascular ultrasound , thrombus , radiology , cardiac tumors , inferior vena cava , cardiology , surgery
We present a rare case of a child with a Wilm's tumor with an intravascular tumor‐thrombus extending from the inferior vena cava to the right ventricle via the tricuspid valve. Rapid tumor progression resulted in life‐threatening clinical deterioration. Radiologic and cardiac imaging demonstrated the extent of the intravascular extension of her tumor‐thrombus. Emergency neo‐adjuvant chemotherapy resulted in rapid clinical improvement, so that complete surgical excision was possible. Following multimodality therapy, the child is now in remission. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43 :262–264, 2015