Cardiopulmonary bypass with brain perfusion for renal cell carcinoma with caval thrombosis

Figure 1 Sketch of the technique of incannulation adopted for CPB+BP: when right atrium and superior vena cava are cannulated, venous flow (blue arrows) after oxygenation is pumped into the aortic arch clamped (aclamps) between the brachio-cefalic trunk and the left carotid artery. RA: Right atrium; SVC: Superior vena cava; AA: Aortic arch.

Figure 2 Extraction of the thrombus through a cavotomy (A) and examination of the caval lumen in a completely bloodless field (B).