Hepatocellular Carcinoma to the Right Ventricle
Hepatocellular carcinoma (HCC) is the sixth most prevalent cancer in the world, but metastatic disease to the heart is rare. We present a case of a 63-year-old man with history of hepatitis C and cirrhosis, which had progressed to HCC. The patient had undergone two prior liver transplantations. He p...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2014/192737 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552600665325568 |
|---|---|
| author | George R. Marzouka Apurva Badheka Alexis P. Rodriguez Sandra V. Chaparro |
| author_facet | George R. Marzouka Apurva Badheka Alexis P. Rodriguez Sandra V. Chaparro |
| author_sort | George R. Marzouka |
| collection | DOAJ |
| description | Hepatocellular carcinoma (HCC) is the sixth most prevalent cancer in the world, but metastatic disease to the heart is rare. We present a case of a 63-year-old man with history of hepatitis C and cirrhosis, which had progressed to HCC. The patient had undergone two prior liver transplantations. He presented to the hospital complaining of worsening lower extremity edema. His exam was also pertinent for jugular venous distension, a 3/6 crescendo-decrescendo murmur, and hepatosplenomegaly. A transthoracic echocardiogram showed a large irregular lobulated mass in the apex of the right ventricle with a mobile pedunculated component. An MRI of the heart revealed a 4.4 × 3.4 × 4.0 cm mass within the right ventricular apex, which was subsequently biopsied and found to be moderately differentiated HCC with myocardial fragments. The patient opted out of any further therapy, or intervention, and was enrolled in hospice care. |
| format | Article |
| id | doaj-art-e21cf22da63c429db2404c723fcdc6d8 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-e21cf22da63c429db2404c723fcdc6d82025-02-03T05:58:18ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/192737192737Hepatocellular Carcinoma to the Right VentricleGeorge R. Marzouka0Apurva Badheka1Alexis P. Rodriguez2Sandra V. Chaparro3Division of Cardiology, University of Miami Miller School of Medicine, 1120 NW 14th Street, Clinical Research Building, Room 1107, Miami, FL 33136, USADivision of Cardiology, University of Miami Miller School of Medicine, 1120 NW 14th Street, Clinical Research Building, Room 1107, Miami, FL 33136, USADepartment of Internal Medicine, University of Miami Miller School of Medicine, 1611 NW 12th Avenue, Central Building, Room 600D, Miami, FL 33136, USADivision of Cardiology, University of Miami Miller School of Medicine, 1120 NW 14th Street, Clinical Research Building, Room 1107, Miami, FL 33136, USAHepatocellular carcinoma (HCC) is the sixth most prevalent cancer in the world, but metastatic disease to the heart is rare. We present a case of a 63-year-old man with history of hepatitis C and cirrhosis, which had progressed to HCC. The patient had undergone two prior liver transplantations. He presented to the hospital complaining of worsening lower extremity edema. His exam was also pertinent for jugular venous distension, a 3/6 crescendo-decrescendo murmur, and hepatosplenomegaly. A transthoracic echocardiogram showed a large irregular lobulated mass in the apex of the right ventricle with a mobile pedunculated component. An MRI of the heart revealed a 4.4 × 3.4 × 4.0 cm mass within the right ventricular apex, which was subsequently biopsied and found to be moderately differentiated HCC with myocardial fragments. The patient opted out of any further therapy, or intervention, and was enrolled in hospice care.http://dx.doi.org/10.1155/2014/192737 |
| spellingShingle | George R. Marzouka Apurva Badheka Alexis P. Rodriguez Sandra V. Chaparro Hepatocellular Carcinoma to the Right Ventricle Case Reports in Cardiology |
| title | Hepatocellular Carcinoma to the Right Ventricle |
| title_full | Hepatocellular Carcinoma to the Right Ventricle |
| title_fullStr | Hepatocellular Carcinoma to the Right Ventricle |
| title_full_unstemmed | Hepatocellular Carcinoma to the Right Ventricle |
| title_short | Hepatocellular Carcinoma to the Right Ventricle |
| title_sort | hepatocellular carcinoma to the right ventricle |
| url | http://dx.doi.org/10.1155/2014/192737 |
| work_keys_str_mv | AT georgermarzouka hepatocellularcarcinomatotherightventricle AT apurvabadheka hepatocellularcarcinomatotherightventricle AT alexisprodriguez hepatocellularcarcinomatotherightventricle AT sandravchaparro hepatocellularcarcinomatotherightventricle |