A Case of Non–B/C Type Hepatocellular Carcinoma Treated with Central Hepatectomy After CABG Using Right Gastroepiploic Artery

Abstract

We report a case of non–B/C hepatocellular carcinoma (HCC) treated with central hepatectomy after coronary artery bypass grafting (CABG) using right gastroepiploic artery (RGEA) grafting.
A 54–year–old–man was referred for a hepatic tumor 8 cm in diameter 5 years after undergoing CABG using the RGEA. Enhanced abdominal computed tomography (CT) showed a hypervascular liver tumor at segments 4 and 8 with a compressed middle hepatic vein and RGEA grafting to the diaphragm along the left hepatic falciform ligament. Because hepatitis B and C markers were negative with high serum PIVKA–II, the tumor was diagnosed as non–B/C HCC. Central hepatectomy was done without injuring the RGEA graft or adversely affecting morbidity. The man has remained without recurrent disease in the 7 months after surgery.