Hepatocellular Carcinoma with Atrial Extension: A Case Report

Hepatocellular carcinoma is a common malignancy usually associated with cirrhosis. Despite being a highly aggressive tumor with several cases of vascular invasion, metastatic disease to the heart is a rare condition. A 65-year-old male cirrhotic patient was admitted with dyspnea, ascites, and lower...

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Bibliographic Details
Main Authors: Eduardo Dantas, Daniel Matos, Mariana Coelho, Cristiana Sequeira, Cláudia Cardoso, Ana Paula Oliveira
Format: Article
Language:English
Published: Karger Publishers 2020-11-01
Series:GE: Portuguese Journal of Gastroenterology
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Online Access:https://www.karger.com/Article/FullText/511643
Description
Summary:Hepatocellular carcinoma is a common malignancy usually associated with cirrhosis. Despite being a highly aggressive tumor with several cases of vascular invasion, metastatic disease to the heart is a rare condition. A 65-year-old male cirrhotic patient was admitted with dyspnea, ascites, and lower extremity edema. A transthoracic echocardiogram showed a large mass in the right atrium. Further imaging studies revealed the presence of hepatocellular carcinoma extending from the liver to the right atrium through the inferior vena cava. The cardiac mass was surgically removed to treat the symptoms of right heart failure, but unfortunately the patient died on the 30th day after surgery due to septic shock.
ISSN:2341-4545
2387-1954