A systematic surgical approach to hepatoblastoma with intracardiac extension

Author:

Sayed Sajid12,Prabhu Sudesh134,Fawcett Jonathan5,Choo Kelvin6,Alphonso Nelson134

Affiliation:

1. Queensland Paediatric Cardiac Services, Lady Cilento Children’s Hospital, Brisbane, Australia

2. School of Paediatrics and Child Health, University of Western Australia, Perth, Australia

3. School of Medicine, University of Queensland, Brisbane, Australia

4. Mater Research Institute, University of Queensland, Brisbane, Australia

5. Queensland Liver Transplant Service, Brisbane, Australia

6. Paediatric Surgery, Children’s Health Queensland Hospital and Health Service, Brisbane, Australia

Abstract

Hepatoblastoma is very uncommon in children, and intracardiac extension is rare. The SIOPEL-4 regime for metastatic hepatoblastoma has extended the surgical options with good results. We successfully treated a boy aged 2 years and 9 months with hepatoblastoma, using a multidisciplinary surgical strategy involving an extended left hepatectomy, left adrenalectomy, biopsy of the paraaortic and coeliac lymph nodes, and resection of the inferior vena caval-right atrial extension of the hepatoblastoma, under cardiopulmonary bypass and deep hypothermia.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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