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Mobile right atrial thrombus with pulmonary thromboembolism in a patient with advanced hepatocellular carcinoma and disseminated tumor thrombosis.

Panduranga P, Al-Mukhaini M, Ratnam L, Al-Harthy S - Heart Views (2011)

Bottom Line: We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss.This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites.Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman.

ABSTRACT
We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss. This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites. Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

No MeSH data available.


Related in: MedlinePlus

Transthoracic echocardiogram showing persistence of tumor thrombus in inferior vena cava (a) and right atrium (b) on oral anticoagulation for 4 weeks in a patient with hepatocellular carcinoma and disseminated tumor thrombosis. Abbreviations: RA = Right atrium; IVC = Inferior vena cava; RV = Right ventricle
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Figure 5: Transthoracic echocardiogram showing persistence of tumor thrombus in inferior vena cava (a) and right atrium (b) on oral anticoagulation for 4 weeks in a patient with hepatocellular carcinoma and disseminated tumor thrombosis. Abbreviations: RA = Right atrium; IVC = Inferior vena cava; RV = Right ventricle

Mentions: A follow-up echocardiogram done 4-weeks later showed persistence of tumor thrombus in the IVC and RA [Figure 5a–b, arrow heads]. Patient expired after 12 weeks.


Mobile right atrial thrombus with pulmonary thromboembolism in a patient with advanced hepatocellular carcinoma and disseminated tumor thrombosis.

Panduranga P, Al-Mukhaini M, Ratnam L, Al-Harthy S - Heart Views (2011)

Transthoracic echocardiogram showing persistence of tumor thrombus in inferior vena cava (a) and right atrium (b) on oral anticoagulation for 4 weeks in a patient with hepatocellular carcinoma and disseminated tumor thrombosis. Abbreviations: RA = Right atrium; IVC = Inferior vena cava; RV = Right ventricle
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3345155&req=5

Figure 5: Transthoracic echocardiogram showing persistence of tumor thrombus in inferior vena cava (a) and right atrium (b) on oral anticoagulation for 4 weeks in a patient with hepatocellular carcinoma and disseminated tumor thrombosis. Abbreviations: RA = Right atrium; IVC = Inferior vena cava; RV = Right ventricle
Mentions: A follow-up echocardiogram done 4-weeks later showed persistence of tumor thrombus in the IVC and RA [Figure 5a–b, arrow heads]. Patient expired after 12 weeks.

Bottom Line: We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss.This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites.Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman.

ABSTRACT
We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss. This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites. Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

No MeSH data available.


Related in: MedlinePlus