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Intracavitary cardiac extension of hepatoma
The Annals of Thoracic Surgery
|February 1, 1975
Insights
A 62-year-old man experienced acute right atrial obstruction caused by metastatic hepatoma. Surgical removal of the tumor provided complete symptom relief, highlighting surgical intervention for such rare cases.
Area of Science:
- Cardiology
- Oncology
- Surgical Pathology
Background:
- Right atrial obstruction is a rare clinical presentation.
- Malignant tumors can obstruct cardiac chambers, leading to acute symptoms.
- Metastatic hepatoma, while primarily a liver cancer, can spread to other organs.
Purpose of the Study:
- To report a case of acute right atrial obstruction due to metastatic hepatoma.
- To illustrate the diagnostic utility of angiography in such cases.
- To demonstrate the efficacy of surgical resection for symptomatic relief.
Main Methods:
- Diagnostic angiography was performed to identify the cause of obstruction.
- Histopathological examination confirmed the tumor as metastatic hepatoma.
- Surgical resection of the tumor was undertaken.
Main Results:
- Angiography revealed a tumor causing acute right atrial obstruction.
- The tumor was histopathologically confirmed as metastatic hepatoma.
- Complete symptomatic relief was achieved post-resection.
Conclusions:
- Metastatic hepatoma can present as acute right atrial obstruction.
- Angiography is crucial for diagnosing cardiac masses.
- Surgical resection offers a viable treatment option with excellent outcomes.
Abstract:
Acute right atrial obstruction in a 62-year-old man was demonstrated angiographically to be due to a tumor, which was later proved to be metastatic hepatoma. Resection of the tumor resulted in total symptomatic relief.