Aggressive resection of hepatocellular carcinoma with right atrial involvement.
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.
Florman
Sander
S
Department of Surgery,Tulane University, New Orleans, Louisiana, USA. sflorman@tulane.edu
Weaver
Michael
M
Primeaux
Paul
P
Killackey
Mary
M
Sierra
Rafael
R
Gomez
Santiago
S
Haque
Salima
S
Regenstein
Fredric
F
Balart
Luis
L
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