TITLE

Right Atrial Mass in a Patient With HIV and Hepatitis B: A Case Report

AUTHOR(S)
Siddiqui, Muhammad Umer; Khan, Masroor; Anderson, Timithy
PUB. DATE
August 2013
SOURCE
Cardiology Research;2013, Vol. 4 Issue 4, p165
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
A 41-year-old man presented to the emergency room for evaluation of substernal chest pain, shortness of breath and generalized failure to thrive. Patient had history of hepatitis B and HIV. During recent evaluation of hepatic mass, patient was found to have hepatocellular carcinoma on biopsy. Patient had no history of cirrhosis of the liver in the past. On Echocardiogram patient was noted to have a large mass filling the right atrial cavity. CT scan of abdomen, pelvis and chest showed a diffusely enlarged heterogeneously enhancing liver consistent with large hepatoma, with portal venous and hepatic vein thrombosis. Tumor thrombus extended through the hepatic veins and upper inferior vena cava into the right atrium. There was 6 cm greatest diameter enhancing mass in the right atrium. Patient had primary hepatocellular carcinoma with extensive invasion into vascular structures. His prognosis was poor and patient opted for palliative care only. In conclusion, patients with co-infection of HIV and Hepatitis B are at risk of developing hepatocellular carcinoma with extension into the right atrium and physicians managing these patients should have high suspicion of right atrial involvement with tumor extension and low threshold to order a screening echocardiogram.
ACCESSION #
91692548

 

Related Articles

  • Acute myocardial infarction caused by embolisation of an intra-cardiac tumour. Mostafa, Ashraf; Briasoulis, Alexandros; Schreiber, Theodore // Cardiology in the Young;Feb2016, Vol. 26 Issue 2, p386 

    This report describes a rare case of left main coronary artery occlusion caused by embolisation of an intra-cardiac tumour in an 11-year-old patient. The patient presented with severe chest pain with ST-segment depression in the inferolateral leads with evidence of decreased left ventricular...

  • Pulmonary sequestration: A rare case in a patient with acute chest pain and palpitation mimicking the acute coronary syndrome. Mahmodlou, Rahim; Sepehrvand, Nariman; Hatami, Sanaz // Lung India;Jan/Feb2015, Vol. 32 Issue 1, p76 

    Pulmonary sequestration (PS), a non-functioning lung tissue, which lacks the normal communication with the tracheobronchial tree and receives the blood supply from the systemic circulation, is a rare congenital malformation that comprises 0.5-6% of all congenital pulmonary malformations. The...

  • Infection with HIV-1 group O. Gould, Kenneth // AIDS Patient Care & STDs;Dec97, Vol. 11 Issue 6, p399 

    Presents the case history of the first patient with human immunodeficiency virus (HIV)-1 group O reported in the United States. Description of various human retroviruses and their clinical syndromes; Documentation of the various human retroviruses increasing diversity of HIV-1 strains and their...

  • TWICE DAILY DOSING STUDY OF VIRACEPT.  // AIDS Patient Care & STDs;Jun98, Vol. 12 Issue 6, p493 

    Presents the results of several clinical studies on the impact of twice daily dosing of the drug Viracept (nelfinavir mesylate) in patients suffering from the human immunodeficiency virus. Number of patients which participated in the studies; Methodology used in the studies; Examination of the...

  • Research status of Budd-Chiari syndrome in China. Xiaowei Dang; Luhao Li; Peiqin Xu // International Journal of Clinical & Experimental Medicine;2014, Vol. 7 Issue 12, p4646 

    Budd-Chiari syndrome (B-CS) is a disease with a low incidence and has obvious geographical difference in subtype and clinical characteristics. The pathogenesis of B-CS in China is significantly different from that in western countries and is a complex process involving multiple factors. However,...

  • Surgical Approach to “Right Hepatic Core”: Deepest Region Surrounded by Major Portal Pedicles and Right Hepatic Vein. Tani, Keigo; Ishizawa, Takeaki; Sakamoto, Yoshihiro; Hasegawa, Kiyoshi; Kokudo, Norihiro // Digestive Surgery;Jul2018, Vol. 35 Issue 4, p350 

    Background/Aims: The resection of hepatic tumors located in the region surrounded by the right hepatic vein (RHV) and the portal pedicles of the right paramedian/lateral sector (the right hepatic core) remains a challenge for liver surgeons. The aim of this study was to demonstrate...

  • EARLY RECURRENCE AFTER LIVER RESECTION FOR PRIMARY HEPATO-CELLULAR CARCINOMA: A CASE REPORT AND LITERATURE REVIEW. Ţăranu, T.; Georgescu, Şt. O.; Crumpei, Iulia; Stan, C. I.; Hînganu, M. V.; Nedelcu, A. H.; Lozneanu, Ludmila; Luca, Cristina; Cojocaru, Delia // Romanian Journal of Functional & Clinical, Macro- & Microscopica;2014, Vol. 13 Issue 3, p354 

    Background: Primary hepato-cellular carcinoma is a severe lesion with guarded prognosis. Purpose: report of a case of single 5 cm node non-metastasized invasive macrovascularhepato-cellular carcinomawhich, after a potentially curative resection, developed a multinodular recurrence on the...

  • Inferior Right Hepatic Vein-preserving Major Right Hepatectomy for Hepatocellular Carcinoma in Patients with Significant Fibrosis or Cirrhosis. Jiang, Chunping; Wang, Zhongxia; Xu, Qingxiang; Wu, Xingyu; Ding, Yitao // World Journal of Surgery;Jan2014, Vol. 38 Issue 1, p159 

    Background: Liver resection represents a most effective treatment for hepatocellular carcinoma (HCC). The extent of hepatectomy for HCC involves maintaining a tricky balance between radical resection of tumors and preservation of sufficient liver parenchyma. Generally, removal of the right...

  • Liver Stiffness Measurement by Fibroscan Predicts the Presence and Size of Esophageal Varices in Egyptian Patients with HCV Related Liver Cirrhosis. SAAD, YASMIN; SAID, MOHAMED; IDRIS, MOHAMED O.; RABEE, AYMAN; SALAMA, ZAKARIA // Journal of Clinical & Diagnostic Research;Oct2013, Vol. 7 Issue 10, p2253 

    Background and Aim: Liver stiffness measured by transient elastgraphy correlates with Hepatic vein pressure gradient, liver Stiffness value of 21 kpa predicts significant portal hypertension. Aim is to predict esophageal varices presence by fibroscan and possible grading by degree of liver...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics