title: Resection of a cardiac tumor extending into the inferior vena cava presenting as Budd-Chiari syndrome.
abstract: This report describes the successful treatment of a case of cardiac adenocarcinoma with the clinical presentation as Budd-Chiari syndrome. Complete surgical excision of the atriocaval mass was successfully achieved under deep hypothermic circulatory arrest. Histopathological diagnosis of this tumor was tubular adenocarcinoma with positive immunostaining by carcinoembrionic antigen. Subsequent systemic search could not detect any evidence of extra-cardiac primary site and distant metastatic lesion. A 2-year follow-up without any adjuvant therapy revealed no sign of recurrence.
authors.affiliation: Department of Cardiovascular Surgery, Tottori University Hospital, Tottori, Japan.
authors.forename: Naruto
authors.initials: N
authors.lastname: Matsuda
authors.forename: Munehiro
authors.initials: M
authors.lastname: Saiki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kamihira
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Kanaoka
authors.forename: Shingo
authors.initials: S
authors.lastname: Ishiguro
authors.forename: Shigetsugu
authors.initials: S
authors.lastname: Ohgi
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D000368:Aged; D014408:Biomarkers, Tumor / Q000097:blood; D006502:Budd-Chiari Syndrome / Q000209:etiology* / Q000601:surgery; D002272:Carcinoembryonic Antigen / Q000097:blood; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D006338:Heart Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*
chemical_list: D014408:Biomarkers, Tumor; D002272:Carcinoembryonic Antigen