Chieng S Haw-Han, Lin C-H, Lu M-J, Hung C-R
Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Thorac Cardiovasc Surg. 2005 Apr;53(2):123-5. doi: 10.1055/s-2004-830484.
We report a rare case of direct intracavitary metastasis of a hepatocellular carcinoma (HCC) to the right ventricle (RV) without intravascular involvement. A 65-year-old female, with a history of HCC and partial right hepatectomy, developed symptoms of congestive heart failure. Echocardiography revealed a large tumor in the RV with extension to the outflow tract. Palliative excision of the cardiac tumor under cardiopulmonary bypass and cardioplegic arrest was performed due to severe hemodynamic compromise. The final pathology report disclosed metastatic HCC. Tumor recurrence in the RV was noted 2 months later and the patient succumbed to the disease.
我们报告了一例罕见的肝细胞癌（HCC）直接腔内转移至右心室（RV）而无血管内受累的病例。一名65岁女性，有HCC病史且接受过部分右肝切除术，出现了充血性心力衰竭症状。超声心动图显示右心室内有一个大肿瘤并延伸至流出道。由于严重的血流动力学损害，在体外循环和心脏停搏下对心脏肿瘤进行了姑息性切除。最终病理报告显示为转移性HCC。2个月后右心室出现肿瘤复发，患者因病死亡。
