Fontan Liver Lesions: Not Always HCC

A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular… A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carci...

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Published inJACC. Case reports Vol. 1; no. 2; pp. 175 - 178
Main Authors Haeffele, Christiane, Aggarwal, Avin, Lutchman, Glen, Veldtman, Gruschen R., Wu, Fred M., Lui, George K.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.08.2019
Elsevier
Subjects
awareness
Case Report
congenital heart defect
cyanotic heart disease
imaging
treatment
treatment
FNH
AST
cyanotic heart disease
MRI
ALT
HCC
AFP
GS
INR
imaging
congenital heart defect
CT
FALD
awareness
AV
AASLD
US
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Summary:A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular… A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Pathology demonstrated focal nodular hyperplasia. This raises concern for overdiagnosis of HCC in Fontan patients without tissue confirmation. (Level of Difficulty: Advanced.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2019.05.031