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Deep Hypothermia and Low Flow for Surgery for Abdominal or Extraperitoneal Tumors With Cavoatrial Extension  Jean-Noel Fabiani, MD, PhD, Maxime Raux,

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Presentation on theme: "Deep Hypothermia and Low Flow for Surgery for Abdominal or Extraperitoneal Tumors With Cavoatrial Extension  Jean-Noel Fabiani, MD, PhD, Maxime Raux,"— Presentation transcript:

1 Deep Hypothermia and Low Flow for Surgery for Abdominal or Extraperitoneal Tumors With Cavoatrial Extension  Jean-Noel Fabiani, MD, PhD, Maxime Raux, MD, Jean-Marc Alsac, MD, PhD, Leonora Du Puymontbrun, MD, Alain Bel, MD, Jérome Jouan, MD, Suzanna Salvi, MD, Julia Pouly, MD, Paul Achouh, MD, PhD  The Annals of Thoracic Surgery  Volume 95, Issue 6, Pages (June 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Longitudinal opening of right atrium and inferior vena cava allowing exposure of the thrombus and the origin of the hepatic veins. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Extraction of the tumoral thrombus from the hepatic veins and the right heart, and resection of the infrahepatic inferior vena cava (IVC). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Surgical field after thrombus removal, with verification of the patency of the hepatic veins. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Atriohepatic confluent reconstruction with direct anastomosis of the hepatic veins in the right atrium, using a pericardium patch. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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