tailieunhanh - Báo cáo y học: "Acute heart failure caused by a giant hepatocellular metastatic tumor of the right atrium"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Acute heart failure caused by a giant hepatocellular metastatic tumor of the right atrium. | Dedeilias et al. Journal of Cardiothoracic Surgery 2011 6 102 http content 6 1 102 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Acute heart failure caused by a giant hepatocellular metastatic tumor of the right atrium 1 1 2 3 4 Panagiotis Dedeilias loannis Nenekidis loannis Koukis Vania Anagnostakou Niki Paparizou Spyros Zompolos5 and Efstratios Apostolakis6 Abstract We present a symptomatic 40-year-old cirrhotic man who presented with sudden onsets of syncope. Echocardiography revealed right ventricular outflow track obstruction caused by a huge right atrial mass. The tumor was surgically excised under cardiopulmonary bypass. Although no primary cancerous lesion in the liver was detected histopathology revealed that the mass was a metastatic hepatocellular carcinoma. The aim of this report is to show the value of urgent preoperative computed tomography and its contribution in the operative strategy. The importance of urgent surgical treatment with tricuspid valve sparing tumor resection is emphasized even though the prognosis for such patients is dismal. We also discuss the further management options of such rare cases Background Hepatocellular metastatic carcinomas to the heart are uncommon malignant tumors that are usually located to the right atrium. Prompt diagnosis of their presence is of major clinical importance because although rare they can cause obstructive phenomena heart failure and even sudden cardiac death 1-3 . Herein we present a patient with a metastatic hepatocellular carcinoma located in the right atrium and invading the right ventricle the pre op workout and the subsequent management Case report A 40 year old cirrhotic male was admitted to the cardiology emergency department due to sudden onsets of syncope. He also presented with exertional dyspnoea accompanied by continuous chest pain and cough. His medical history included hepatitis B marker p ositive. Clinical examination revealed cyanotic and