Total Artificial Heart Implantation After Undifferentiated High-Grade Sarcoma Excision

被引：8

作者：

Kremer, Jamila ^{[1
]}

Farag, Mina ^{[1
]}

Arif, Rawa ^{[1
]}

Brcic, Andreas ^{[2
]}

Sabashnikov, Anton ^{[3
]}

Schmack, Bastian ^{[3
]}

Popov, Aron-Frederik ^{[3
]}

Karck, Matthias ^{[1
]}

Dohmen, Pascal M. ^{[4
,5
]}

Ruhparwar, Arjang ^{[1
]}

Weymann, Alexander ^{[1
,5
]}

机构：

[1] Heidelberg Univ, Heart & Marfan Ctr, Dept Cardiac Surg, Heidelberg, Germany

[2] Heidelberg Univ, Dept Anesthesiol, Heidelberg, Germany

[3] Royal Brompton & Harefield NHS Fdn Trust Harefiel, Dept Cardiothorac Transplantat & Mech Circulatory, London, England

[4] Univ Free State, Dept Cardiothorac Surg, Bloemfontein, South Africa

[5] Carl von Ossietzky Univ Oldenburg, Univ Hosp Oldenburg, European Med Sch Oldenburg Groningen, Dept Cardiac Surg, Oldenburg, Germany

来源：

MEDICAL SCIENCE MONITOR BASIC RESEARCH | 2016年 / 22卷

关键词：

Adenosarcoma; Heart-Assist Devices; Stroke;

D O I：

10.12659/MSMBR.901526

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background: Total artificial heart (TAH) implantation in patients with aggressive tumor infiltration of the heart can be challenging. Case Report: We report on a patient with a rare primary undifferentiated high-grade spindle cell sarcoma of the mitral valve and in the left atrium, first diagnosed in 2014. The referring center did a first resection in 2014. In the course of 17 months, computer tomography (CT) scan again showed massive invasion of the mitral valve and left atrium. Partial resection and mitral valve replacement was not an option. We did a subtotal heart excision with total artificial heart implantation. In this report we discuss complications, risk factors, and perioperative management of this patient. Conclusions: Patients with aggressive tumors of the heart can be considered for TAH implantation.

引用

页码：128 / 131

页数：4

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