Resection of Metastatic Hepatocellular Carcinoma in the Ventricular Septum Causing Left Ventricular Outflow Tract Obstruction

W Hampton Gray; Rhusheet Patel; Craig J Baker; Vaughn A Starnes; Michael E Bowdish

doi:10.1016/j.athoracsur.2017.09.052

Resection of Metastatic Hepatocellular Carcinoma in the Ventricular Septum Causing Left Ventricular Outflow Tract Obstruction

Ann Thorac Surg. 2018 Mar;105(3):e107-e108. doi: 10.1016/j.athoracsur.2017.09.052.

Authors

W Hampton Gray¹, Rhusheet Patel², Craig J Baker², Vaughn A Starnes², Michael E Bowdish²

Affiliations

¹ Division of Cardiothoracic Surgery, CardioVascular Thoracic Institute, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California. Electronic address: hampton.gray@med.usc.edu.
² Division of Cardiothoracic Surgery, CardioVascular Thoracic Institute, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

PMID: 29455819
DOI: 10.1016/j.athoracsur.2017.09.052

Abstract

Isolated cardiac involvement of recurrent metastatic hepatocellular carcinoma (HCC) is extremely rare. We report a patient with left ventricular outflow tract (LVOT) obstruction due to isolated recurrent HCC involving the interventricular septum (IVS). A ventriculotomy with resection of the tumor and patch repair of the IVS was performed with successful relief of LVOT obstruction. The patient was discharged home 6 days later symptom-free.

Publication types

Case Reports

MeSH terms

Aged
Carcinoma, Hepatocellular / diagnostic imaging
Carcinoma, Hepatocellular / secondary*
Carcinoma, Hepatocellular / surgery*
Echocardiography
Female
Heart Neoplasms / diagnostic imaging
Heart Neoplasms / secondary*
Heart Neoplasms / surgery*
Humans
Liver Neoplasms / pathology
Ventricular Outflow Obstruction / diagnostic imaging
Ventricular Outflow Obstruction / etiology*
Ventricular Septum*