[Metastatic hepatocellular carcinoma: right atrial tumor as primary clinical manifestation. Case report].

In patients with hepatocellular carcinoma, the incidence of cardiac metastasis is 0.67-3%. The prognosis is dismal, even with curative resection, being survival at 5 years around 12-39%. We report an unusual case of a 51 year old man, presenting with a mass in the right atrium, diagnosed on histopathologic examination as being metastasis from a hepatocellular carcinoma. Urgent surgical intervention was required due to hemodynamic instability.