Conroy Michael R, Moe Tabitha G
Department of Cardiology,Mayo Clinic,Scottsdale,Arizona,United States of America.
Cardiol Young. 2017 Mar;27(2):407-409. doi: 10.1017/S1047951116001360. Epub 2016 Sep 19.
In this study, we describe the case of a 36-year-old woman who was diagnosed with hepatocellular carcinoma on a background of Fontan procedure for tricuspid atresia. She had worsening heart failure in the months before presentation, and early investigations noted derangement in liver enzymes and hepatomegaly. Liver biopsy confirmed a hepatocellular carcinoma. Hepatocellular carcinoma is a rare but recognised consequence of cardiac cirrhosis in Fontan patients.
在本研究中，我们描述了一名36岁女性的病例，该女性因三尖瓣闭锁接受了Fontan手术，在此背景下被诊断为肝细胞癌。她在就诊前几个月出现心力衰竭加重，早期检查发现肝酶紊乱和肝肿大。肝活检确诊为肝细胞癌。肝细胞癌是Fontan患者心源性肝硬化的一种罕见但已被认识到的后果。
