Ann Hepatobiliary Pancreat Surg.  2020 Nov;24(4):518-521. 10.14701/ahbps.2020.24.4.518.

Hepatocellular carcinoma with atrial tumor thrombus presenting as myxoma: Resection under cardiopulmonary bypass

• Singh MK
• Roy R
• Shetty V
• Goja S

• KMID: 2508862
• DOI: http://doi.org/10.14701/ahbps.2020.24.4.518

Abstract

Surgical resection for Hepatocellular carcinoma (HCC) with atrial tumor thrombus is a rare life saving procedure. A case of left lateral segment liver tumor (HCC) with atrial tumor thrombus resected with use of cardio-pulmonary bypass is presented.

Keyword

Atrial tumor; Thrombus; Hepatocellular carcinoma; Cardiopulmonary bypass; Myxoma

Figure

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  Fig. 1 (A) Computed tomography image of segment II/III hepatocellular carcinoma with early arterial enhancement. (B) Computed tomography image of hepatocellular carcinoma tumor thrombus extending from left hepatic vein to right atrium.

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  Fig. 2 Intraoperative image after left lateral parenchymal transection and placement of cardiopulmonary bypass cannulas.

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  Fig. 3 Resected specimen; left lateral segment liver tumor with tumor thrombus in left hepatic vein and detached atrial tumor thrombus.

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