TY - JOUR T1 - Metastases of Hepatocellular Carcinoma Misdiagnosed as Isolated Hypertrophic Cardiomyopathy JO - Annals of Hepatology T2 - AU - Greco,Assunta AU - De Masi,Roberto AU - Orlando,Stefania AU - Metrangolo,Antonio AU - Zecca,Vittorio AU - Morciano,Giancarlo AU - Bagordo,Francesco AU - Piccinni,Giancarlo SN - 16652681 M3 - 10.5604/01.3001.0010.5289 DO - 10.5604/01.3001.0010.5289 UR - https://www.elsevier.es/en-revista-annals-hepatology-16-articulo-metastases-hepatocellular-carcinoma-misdiagnosed-as-S166526811930465X AB - At present, cardiac metastasis of hepatocellular carcinoma is rarely mentioned in the literature. We report a hepatocellular carcinoma patient with cardiac metastasis misdiagnosed as hypertrophic cardiomyopathy in 2011. Two years later, on presentation of syncope, an abnormal ventricular septal size was recorded by ultrasound scan, and was subsequently shown by magnetic resonance imaging to be a tumour lesion. A myocardial biopsy confirmed infiltration of hepatocellular carcinoma. This observation underlines the risk of hepatocellular carcinoma cardiac metastasis, manifested in its infiltrative form as hypertrophic cardiomyopathy. In conclusion, we suggest that the ultrasound appearance of hypertrophic cardiomyopathy in hepatocellular carcinoma patients should be seen as a “red flag” and recommend the introduction of magnetic resonance imaging assessment of transplant candidates. ER -