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Cardiac cirrhosis and hepatocellular carcinoma in a 13‐year‐old treated with doxorubicin microbead transarterial chemoembolization
Author(s) -
Rosenbaum Jeremy,
Vrazas John,
Lane Geoffrey K,
Hardikar Winita
Publication year - 2012
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2010.01932.x
Subject(s) - medicine , lipiodol , hepatocellular carcinoma , cirrhosis , embolization , surgery , radiology , gastroenterology
Increasing numbers of children are surviving into adulthood following surgery to correct or palliate congenital heart disease. This surgery can occasionally result in long‐standing elevated right heart pressures and chronic hepatic venous congestion leading to cardiac cirrhosis. We report the first paediatric case of hepatocellular carcinoma in the setting of cardiac cirrhosis. A 13‐year‐old girl developed inoperable hepatocellular carcinoma and was treated with transarterial embolization with lipiodol and doxorubicin eluting microbeads. Promoting awareness of this association, even in younger patients, will hopefully result in better surveillance and screening of hepatic complications in survivors of complex cardiac surgery.