title: Aggressive resection of hepatocellular carcinoma with right atrial involvement.
abstract: Hepatocellular carcinoma with extension into the right heart is a recognized, albeit rare occurrence. Patients who present with tumors extending into the heart have generally been considered inoperable and had limited survival, many sustaining tumor embolism and/or sudden death. Resection has been fraught with intraoperative and perioperative mortality as well as considerable postoperative morbidity. We report an exceptional case of a patient with such a tumor successfully treated with an aggressive surgical approach and review the limited published experience.
authors.affiliation: Department of Surgery,Tulane University, New Orleans, Louisiana, USA. sflorman@tulane.edu
authors.forename: Sander
authors.initials: S
authors.lastname: Florman
authors.forename: Michael
authors.initials: M
authors.lastname: Weaver
authors.forename: Paul
authors.initials: P
authors.lastname: Primeaux
authors.forename: Mary
authors.initials: M
authors.lastname: Killackey
authors.forename: Rafael
authors.initials: R
authors.lastname: Sierra
authors.forename: Santiago
authors.initials: S
authors.lastname: Gomez
authors.forename: Salima
authors.initials: S
authors.lastname: Haque
authors.forename: Fredric
authors.initials: F
authors.lastname: Regenstein
authors.forename: Luis
authors.initials: L
authors.lastname: Balart
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D006325:Heart Atria; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed