... (12-15% of the cases)LEVEL IV (25% of the cases)CPB, Pringle manoeuvre and if necessaryAlways use of CPB and brief period of cross clamp of sub-diaphragmatic aorta TCAIf suboptimal thrombectomy, ... I, Zaragkas S, Grigorakis A, Leivaditis V, Malovrouvas D, Apostolakis E: Deep hypothermia andcirculatory arrest in the surgical management of renal tumors withcavoatrial extension. J Card Surg ... up. Therewas lymph node involvement at the initial specimen of the two pa tients, that had local recurren ces at 2 years. Of the remaining 3 patients, one h ad pulmonary metas-tasis at 2 year...