Advertisement

The International Journal of Cardiovascular Imaging

, Volume 31, Issue 7, pp 1347–1349 | Cite as

Isolated right ventricular infiltrating tumour: metastatic hepatocellular carcinoma

  • Wei-Chieh LeeEmail author
  • Morgan Fu
  • Wen-Hao Liu
Case-in-Point

Abstract

Hepatocellular carcinoma (HCC) with intracavitary metastasis to the heart is rare. The incidence of HCC with right atrial metastasis is less than 6 % at autopsy. Reports of HCC with right ventricular metastasis without inferior vena cava and right atrial metastasis are rarer. The diagnosis of metastasis of HCC into the cardiac cavity might be overlooked because the symptoms are neither apparent nor specific. Here, we report a patient with metastasis of HCC into the right ventricle cavity. The patient was in a disease-free status and experienced lower limbs oedema and gradual shortness of breath.

Keywords

Isolated right ventricular tumor Metastatic hepatocellular carcinoma Right-sided heart failure 

Notes

Conflict of interest

None.

Ethical standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Supplementary material

S1

Transthoracic echocardiography, parasternal long axis view, parasternal short axis view, four-chamber view: very thick free wall and septum of the right ventricle and multiple floating homogenous mass in right ventricle. (AVI 4018 kb)

S2

Coronary angiography: right coronary artery and left anterior descending artery showed large capillary network drainage into the right ventricle. (AVI 3078 kb)

References

  1. 1.
    Masci G, Magagnoli M, Grimaldi A, Covini G, Carnaghi C, Rimassa L, Santoro A (2004) Metastasis of hepatocellular carcinoma to the heart: a case report and review of the literature. Tumor 90(3):345–347Google Scholar
  2. 2.
    Lei MH, Ko YL, Kuan P, Lien WP, Chen DS (1992) Metastatis of hepatocellular carcinoma to the heart: unusual patterns in three cases with antemortem diagnosis. J Formos Med Assoc 91:457–461PubMedGoogle Scholar
  3. 3.
    Kotani E, Kiuchi K, Takayama M, Takano T, Tabata M, Aramaki T, Kawamata H (2000) Effectiveness of transcoronary chemoembolization for metastatic right ventricular tumor derived from hepatocellular carcinoma. Chest 117:287–289CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  1. 1.Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineChang Gung UniversityKaohsiung CityTaiwan, ROC

Personalised recommendations