Key result
Echocardiography successfully identified the rare extension of an adrenocortical carcinoma into the right atrium, guiding a combined surgical approach, though the patient died postoperatively.
Case Report (n=1)
No
Echocardiography is crucial for identifying rare cardiac extension of adrenocortical carcinoma and guiding complex combined surgical management.
Echocardiography may detect rare cardiac extension in adrenocortical carcinoma; this Level 5 case leaves open effects on surgical survival.
BACKGROUND: Adrenocortical carcinoma is a rare, highly malignant tumor. Cardiac involvement of the tumor is very rare. Echocardiography facilitates the evaluation of the cardiac involvement of the tumor. CASE PRESENTATION: We describe a patient with an adrenal tumor. Transthoracic echo showed its extension into the right atrium. Accordingly, a combined abdominal and cardiac operation was performed, monitored by transesophageal echocardiography. CONCLUSION: This case highlights the importance of echocardiography in revealing the cardiac involvement by this tumor and in planning the operative procedure.
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Rosen et al. (2003) conducted a case report in Adrenocortical carcinoma extending into the right atrium (n=1). Echocardiography and combined abdominal and cardiac surgery was evaluated. Echocardiography successfully identified the rare extension of an adrenocortical carcinoma into the right atrium, guiding a combined surgical approach, though the patient died postoperatively.
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