We report a case of a young female patient with congenitally unguarded
tricuspid orifice and underdeveloped pulmonary valve leaflets, who had
developed severe right-sided congestive heart failure and cardiac
cirrhosis early in life. She was admitted to our hospital with
deterioration of dyspnea and abdominal tenderness. Hepatocellular
carcinoma was diagnosed on the basis of computed tomography findings,
high plasma alpha-fetoprotein levels and evidence of chronic hepatitis B
viral infection. Transthoracic echocardiogram revealed a mass into the
right atrium, considered to be an extension of the tumor
