Fontan Liver Lesions: Not Always HCC. JACC. Case reports Haeffele, C., Aggarwal, A., Lutchman, G., Veldtman, G. R., Wu, F. M., Lui, G. K. 2019; 1 (2): 175-178


A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Pathology demonstrated focal nodular hyperplasia. This raises concern for overdiagnosis of HCC in Fontan patients without tissue confirmation. (Level of Difficulty: Advanced.).

View details for DOI 10.1016/j.jaccas.2019.05.031

View details for PubMedID 34316779

View details for PubMedCentralID PMC8301494