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International Society For Minimally Invasive Cardiothoracic Surgery

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Minimally Invasive Removal Of Right Atrial Extension Of Tumour Thrombus In A Liver Transplant Candidate
Anuj Sangal1, Rajneesh Malhotra2.
1Max Heart & Vascular Institute, Dehradun, India, 2Max Heart & Vascular Institute, New Delhi, India.

Hepatocellular carcinoma is a primary malignancy of the liver and occurs predominantly in patients with underlying chronic liver disease and cirrhosis. The cell(s) of origin are believed to be the hepatic stem cells, although this remains the subject of investigation. Tumors progress with local expansion, intrahepatic spread, and distant metastases.There are very few cases of hepatocellular carcinoma with canal and right atrial extension of the tumour reported in literature. We report a case of 30 years old male patient who was liver transplant candidate got diagnosed to have inferior vena cava and right atrial extension of hepatocellular carcinoma, which was successfully removed through minimal access cardiac surgery via right anterolateral minithoracotomy and establishing peripheral bypass and liver transplant done thereafter in the same sitting after heparin reversal.


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