Hepatic Cyst Compressing The Right Atrial and Ventricular Inflow Tract: An Uncommon Cardiac Complication

Area of Science:

• Hepatology
• Cardiology
• Gastroenterology

Background:

• Hepatic cysts are common, but cardiac complications are rare.
• This case highlights an unusual presentation of a large liver cyst causing cardiac symptoms.

Observation:

• A 68-year-old female with a history of multiple hepatic cysts presented with fatigue, shortness of breath, and right upper quadrant pain.
• Imaging revealed a significantly enlarged liver cyst compressing the right atrial and ventricular inflow tracts.
• Echocardiogram confirmed cardiac impingement and grade 1 diastolic dysfunction.

Findings:

• The large hepatic cyst caused mechanical compression of the right heart chambers.
• The patient experienced symptoms of heart failure, including tachycardia, fatigue, and shortness of breath.
• Laparoscopic enucleation of the liver cyst led to complete resolution of cardiac symptoms.

Implications:

• Hepatic cysts, even those long-standing, can present with rare cardiac complications.
• Clinicians should consider cardiac involvement in patients with large or rapidly growing hepatic cysts.
• This case underscores the importance of recognizing and managing uncommon presentations of hepatic cysts.