A case of left atrial metastasis from hepatocellular carcinoma: life-saving palliative resection using cardiopulmonary bypass.
Hepatocellular carcinoma (HCC) with metastasis to the heart is uncommon. We report a rare case of left atrial metastasis of HCC which was resected palliatively as a live-saving procedure with the use of cardiopulmonary bypass. Despite chemoembolization, which was undertaken 11 times, cardiac metastasis occurred. Moreover, the right and left atria and left ventricle were involved simultaneously. The severe dyspnea improved dramatically after surgery. Following this, the patient underwent systemic chemotherapy and lived a life without recurrence of symptoms associated with mitral valve obstruction.
Division of Cardiology, Department of Internal Medicine, Seoul National University Boramae Medical Center/Seoul National University College of Medicine, Seoul, Korea.
Jae-Bin
JB
Seo
Jun Sung
JS
Kim
Dong Seop
DS
Jeong
Woo-Young
WY
Chung
Sang-Hyun
SH
Kim
Myoung-A
MA
Kim
Joo-Hee
JH
Zo