Key result
Surgical removal of a right atrial tumor thrombus due to hepatocellular carcinoma, followed by transcatheter arterial chemoembolization, allowed the patient to survive for 6 months.
Case Report (n=1)
Surgical removal of a right atrial tumor thrombus extending from hepatocellular carcinoma can temporarily relieve hemodynamic compromise.
May warrant surgical thrombectomy in select HCC patients with atrial extension; leaves open questions on survival benefit and selection.
Hepatocellular carcinoma is fatal and has a marked propensity for vascular invasion. However, tumor thrombi rarely occur in the right atrium. A 72-year-old man was admitted with dyspnea and disturbed consciousness. Abdominal computed tomography and echocardiography showed a huge tumor thrombus in the inferior vena cava and the right atrium. The tumor thrombus was surgically removed to treat the hemodynamic compromise. The patient underwent transcatheter arterial chemoembolization postoperatively and survived for 6 months.
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Hayashida et al. (2013) conducted a case report in Hepatocellular carcinoma with right atrial tumor thrombus (n=1). Surgical removal of tumor thrombus and transcatheter arterial chemoembolization was evaluated on Survival. Surgical removal of a right atrial tumor thrombus due to hepatocellular carcinoma, followed by transcatheter arterial chemoembolization, allowed the patient to survive for 6 months.
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