Combined resection of hepatoblastoma and intracaval right atrial extension with profound hypothermia and circulatory arrest.
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.
Mestres
C A
CA
Division of Cardiothoracic Surgery, National University Hospital, National University of Singapore.
Prabhakaran
K
K
Adebo
O A
OA
Kum
C K
CK
Lee
C N
CN
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