2024/12/22 by F.TRIKI, A. TOUNSI, S. KAMMOUN
#Cardiac metastatic #Heart failure #Hepatocellular carcinoma #Thrombus
paper · doi:10.71776/pist-jims-189720
Hepatocellular metastatic carcinomas of the heart are uncommon malignant tumors that are usually located to the right atrium.Herein, we present a 50-year-old cirrhotic Tunisian gentleman presented to our department with jaundice, bilateral lower leg edema, continuous cough and dyspnea of one month’s duration. His medical history included hepatitis B marker positive. He denied any known cardiac or pulmonary disease.Echocardiography revealed right atrial obstruction caused by a huge right atrial mass. Abdominal MRI and Computed tomography demonstrated the typical appearance of hepatocellular carcinoma, with associated thrombus, extending from the right lobe of the liver into the hepatic vein and inferior vena cava and into the right atrium. Tumor was surgically excised under cardiopulmonary bypass. One month later a recurrence of the atrial mass was observed. So, when a patient with a history of chronic hepatic disease presents with symptoms of right heart failure one must be cautious and should bear in mind that right heart involvement from a malignant tumor may be present.