Surgery for mobile atrial hepatocellular carcinoma

Two patients with hepatocellular carcinoma growing into the right atrium had successful surgery. The first patient had an atrial hepatocellular carcinoma which prolapsed through the tricuspid valve and obstructed it. Palliative resection was achieved under deep hypothermia and a brief period of circulatory arrest. In the second patient, the right atrial hepatocellular tumour embolised to the lung. Pulmonary embolectomy was performed under normothermic cardiopulmonary bypass. Both patients survived the hospitalisation period.