title: Combined resection of hepatoblastoma and intracaval right atrial extension with profound hypothermia and circulatory arrest.
abstract: Hepatoblastoma is an uncommon liver neoplasm in children but its intraatrial extension through the inferior vena cava is extremely rare. The case described is a 3-year-old boy in whom profound hypothermia and circulatory arrest were used to resect a hepatoblastoma and its extension to the right atrium. This technique allows maximal resection and relief of venous obstruction from atrial extension of hepatoblastoma.
authors.affiliation: Division of Cardiothoracic Surgery, National University Hospital, National University of Singapore.
authors.forename: C A
authors.initials: CA
authors.lastname: Mestres
authors.forename: K
authors.initials: K
authors.lastname: Prabhakaran
authors.forename: O A
authors.initials: OA
authors.lastname: Adebo
authors.forename: C K
authors.initials: CK
authors.lastname: Kum
authors.forename: C N
authors.initials: CN
authors.lastname: Lee
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002675:Child, Preschool; D004452:Echocardiography; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D014682:Vena Cava, Inferior