Key result
Minimal access cardiac surgery via right anterolateral minithoracotomy and peripheral bypass successfully removed a right atrial tumor thrombus in a 30-year-old man prior to liver transplantation.
Why the study?
Very few cases of hepatocellular carcinoma with canal and right atrial extension of the tumour have been reported in the literature.
Case Report (n=1)
No
Minimally invasive cardiac surgery via right anterolateral minithoracotomy with peripheral bypass is a feasible approach for removing right atrial tumor thrombus extension in patients undergoing concurrent liver transplantation.
Supports feasibility of minithoracotomy for right atrial tumor thrombus pre-transplant; hypothesis-generating and requires prospective validation.
Hepatocellular carcinoma is a primary malignancy of the liver and occurs predominantly in patients with underlying chronic liver disease and cirrhosis. The cell(s) of origin are believed to be the hepatic stem cells, although this remains the subject of investigation. Tumors progress with local expansion, intrahepatic spread, and distant metastases. There are very few cases of hepatocellular carcinoma with canal and right atrial extension of the tumour reported in literature. We report a case of 30 years old male patient who was liver transplant candidate got diagnosed to have inferior vena cava and right atrial extension of hepatocellular carcinoma, which was successfully removed through minimal access cardiac surgery via right anterolateral minithoracotomy and establishing peripheral bypass and liver transplant done thereafter in the same sitting after heparin reversal.
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Sangal et al. (2019) conducted a case report in Hepatocellular carcinoma with inferior vena cava and right atrial extension (n=1). Minimal access cardiac surgery via right anterolateral minithoracotomy and peripheral bypass followed by liver transplant was evaluated on Successful removal of tumor thrombus and liver transplant. Minimal access cardiac surgery via right anterolateral minithoracotomy and peripheral bypass successfully removed a right atrial tumor thrombus in a 30-year-old man prior to liver transplantation.
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