Author information
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
2Icahn School of Medicine at Mount Sinai, New York, NY, USA. Kali.Hopkins@mountsinai.org.
3Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, 1190 5th Ave, GP 1 West, New York, NY, 10029, USA. Kali.Hopkins@mountsinai.org.
4Division of Hepatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
5Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, 1190 5th Ave, GP 1 West, New York, NY, 10029, USA.
6Division of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Abstract
Patients with single ventricle cardiac disease palliated with Fontan procedures inevitably develop Fontan-Associated Liver Disease (FALD), which poses a significant risk for hepatocellular carcinoma (HCC). Standard imaging criteria for the diagnosis of cirrhosis are not reliable due to parenchymal heterogeneity of FALD. We present 6 cases to demonstrate our center's experience and the challenges in diagnosing HCC within this patient population.