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Simultaneous management of renal carcinoma with caval vein thrombosis and double coronary artery disease.

INTRODUCTION
Recent advances in surgical and anesthesiology techniques allow simultaneous thoracic and abdominal operations to be performed for severe heart disease and benignant or malignant abdominal diseases.


CASE REPORT
The simultaneous surgical management in a 75-year-old patient suffering from severe double coronary artery disease and a renal cell carcinoma with extended intravascular growth into the inferior vena cava is reported.


CONCLUSION
The postoperative course was uneventful. Simultaneous surgery proved to be beneficial and safe, showing optimal results in our patient.