Asian Journal of Cardiology Research

Inferior Vena Cava Tumor Thrombus Extending up to the Right Atrium

Amine Kherraf *

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

Safia Ouarrak

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

Meryem Haboub

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

Ghali Bennouna

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

Abdennasser Drighil Drighil

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

Leila Azzouzi

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

Rachida Habbal

Department of Cardiology, University Hospital of Ibn Rochd, Rue des Hôpitaux, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors. Formed tumor thrombus (TT) may extend to the inferior vena cava (IVC) and even may extend  up to the right atrium. Such a scenario is rare and posses a  real surgical challenge. The prognosis for this condition is extremely poor, with a median survival time of   several months, Furthermore, there is no established effective treatment for the condition. The management of patients with advanced HCC and a TT extending into the RA and IVC is extremely difficult and risky. We report an intrahepatic cholangiocarcinoma case with a tumor thrombus extending from the IVC to the RA, revealed by an acute pulmonary embolism assessing the clinical manifestations, pathophysiology, imaging diagnosis techniques and associated positive treatments for HCC with TT in IVC or RA.

Keywords: Pulmonary embolism, tumor thrombus, right atrium, inferior veina cava.

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