Right atrial obstruction due to cardiac extension of hepatocellular carcinoma.
Hepatocellular carcinoma is fatal and has a marked propensity for vascular invasion. However, tumor thrombi rarely occur in the right atrium. A 72-year-old man was admitted with dyspnea and disturbed consciousness. Abdominal computed tomography and echocardiography showed a huge tumor thrombus in the inferior vena cava and the right atrium. The tumor thrombus was surgically removed to treat the hemodynamic compromise. The patient underwent transcatheter arterial chemoembolization postoperatively and survived for 6 months.
Department of Cardiovascular Surgery, Kusatsu General Hospital, Shiga, Japan.
Kyoko
K
Hayashida
Satoru
S
Okumura
Tetsunori
T
Kawase
D000368:Aged; D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000473:pathology* / Q000628:therapy; D016461:Chemoembolization, Therapeutic; D017809:Fatal Outcome; D006325:Heart Atria / Q000473:pathology* / Q000601:surgery; D006331:Heart Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology* / Q000628:therapy; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery
Carcinoma; Circulatory arrest; Heart neoplasms; Neoplasm metastasis; Thrombectomy; deep hypothermia induced; hepatocellular