Abstract
Surgical resection of intrahepatic cholangiocarcinoma with major vascular and atrial invasion is described in this case report using cardiopulmonary bypass followed by complex vascular reconstruction.
Highlights
Cholangiocarcinoma is a primary hepatic tumor that arises from the biliary ductal epithelium
We report the case of an intrahepatic cholangiocarcinoma invading the suprahepatic inferior vena cava (IVC) and right atrium, along with our surgical approach and technique for reconstruction
Computed tomography of the abdomen and pelvis demonstrated a non-enhancing 3 cm mass in the left aspect of the caudate lobe of the liver. This mass was adjacent to the inferior vena cava and appeared to invade the left hepatic vein and extend superiorly to the right atrium
Summary
Cholangiocarcinoma is a primary hepatic tumor that arises from the biliary ductal epithelium. We report the case of an intrahepatic cholangiocarcinoma invading the suprahepatic inferior vena cava (IVC) and right atrium, along with our surgical approach and technique for reconstruction. Computed tomography of the abdomen and pelvis demonstrated a non-enhancing 3 cm mass in the left aspect of the caudate lobe of the liver This mass was adjacent to the inferior vena cava and appeared to invade the left hepatic vein and extend superiorly to the right atrium. The entire en bloc specimen was removed from the operative field, which included the left lobe and caudate lobe of the liver, IVC, diaphragm, and right atrium (Figure 1). Poorly differentiated cholangiocarcinoma invading the left hepatic vein and extended through liver capsule and diaphragm into the wall of the right atrium
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