Cardiac manifestation of hepatocellular carcinoma.

C et al. Influence of pre-operative left ventricular contractile reserve on postoperative ejection fraction in low-gradient aortic stenosis. Outcome after aortic valve replacement for low-flow/low-gradient aortic stenosis without contractile reserve on dobutamine stress echocardiography.dictors of outcomes in low-flow, low-gradient aortic stenosis: results of the multi-center TOPAS Study. B-type natriuretic peptide in low flow, low gradient aortic stenosis. Relationship to hemodynamics and clinical outcome: results from the multicenter truly or pseudosevere aortic stenosis (TOPAS) study. Garcia D et al. Reduced systemic arterial compliance impacts significantly on left ventricular afterload and function in aortic stenosis: implications for diagnosis and treatment. Aortic stenosis with severe left ventricular dysfunction and low transvalvular pressure gradients: risk stratification by low-dose dobutamine echocardiography. Hodge DO et al. Severe aortic stenosis with low transvalvular gradient and severe left ventricular dysfunc-tion: result of aortic valve replacement in 52 patients. et al. Aortic valve replacement in patients with aortic stenosis and severe left ven-tricular dysfunction. Paradoxical low-flow, low-gradient severe aortic stenosis despite preserved ejection fraction is associated with higher afterload and reduced survival. Impact of global left ventricular afterload on left ventricular function in asymptomatic severe aortic stenosis: a two-dimensional speckle-tracking study. Dependence of the Gorlin formula and continuity equation value areas on trans-valvular volume flow rate on valvular aortic stenosis. Flow-dependent changes in Doppler-derived aortic valve effective orifice area are real and not due to artifact. valve replacement for low-flow/low-gradient aortic stenosis operative risk strati-fication and long-term outcome: a European multicenter study. A 76-year-old Caucasian woman with a history of hepatitis C presented to our institution due to symptoms of worsening fatigue and peripheral oedema. She had signs of right heart failure and almost normal laboratory profile. Cardiac echocardiography revealed a hypertrophied left ventricle and the presence of a round mass in the right atrium. In transoesophageal echocardiogram, the mass appeared homogeneous, 4.43 × 4.28 cm in size with projections into the right ventricle during diastole and into the inferior vena cava (IVC; Figure 1A). A computed tomographic (CT) scan of the abdomen revealed a mildly contrast-enhanced right lobal sub-diaphragmatic liver tumour (Figure 1B). The presence of a mass inside the right atrium was confirmed and there were signs of continuity between these two identities (Figure 1C), which was also apparent in magnetic resonance imaging (Figure 1D). CT-guided biopsy of the tumour showed hepatocellular carcinoma. Right heart masses are nosological entities quite rarely observed, which are associated with difficulties …