Complete resection of undifferentiated cardiac sarcoma and reconstruction of the atria and the superior vena cava: case report

被引:4
作者
Furukawa, Nobuyuki [1 ]
Gummert, Jan [1 ]
Boergermann, Jochen [1 ]
机构
[1] Heart & Diabet Ctr N Rhine Westphalia, Dept Cardiothorac Surg, D-32545 Bad Oeynhausen, Germany
来源
JOURNAL OF CARDIOTHORACIC SURGERY | 2012年 / 7卷
关键词
Cardiac sarcoma; Primary cardiac tumor; TUMORS;
D O I
10.1186/1749-8090-7-96
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary cardiac tumors are rare with an incidence ranging from 0.001% to 0.03% in autopsy series. The prognosis of cardiac sarcomas remains poor because it proliferates rapidly and distant metastases are often found at diagnosis. A 47-year-old male complained of persistent cough. The chest roentgenogram was normal. Subsequent computed tomography revealed a mass in the right atrium. Echocardiography and magnetic resonance imaging confirmed also a right atrial mass (34 x 35 mm) infiltrating the atrial septum. The tumor was completely resected en bloc, including the anterior and lateral right atrial walls, the left atrial dome, and a large segment of the superior vena cava, and reconstructed the atria and superior vena cava with bovine pericardium. The tumor was histologically and immunohistochemically diagnosed as undifferentiated pleomorphic sarcoma. This type of cardiac sarcoma is very rare and usually found in the left atrium. Twenty-seven months after surgery, the patient is doing well without metastasis or local tumor recurrence.
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页数:4
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共 8 条
[1]   Outcomes after surgical resection of cardiac sarcoma in the multimodality treatment era [J].
Bakaeen, Faisal G. ;
Jaroszewski, Dawn E. ;
Rice, David C. ;
Walsh, Garret L. ;
Vaporciyan, Ara A. ;
Swisher, Steven S. ;
Benjamin, Robert ;
Blackmon, Shanda ;
Reardon, Michael J. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (06) :1454-1460
[2]   A primary cardiac sarcoma with unusual histology and clinical course [J].
Brunner-La Rocca, HP ;
Vogt, PR ;
Burke, AP ;
Schneider, J ;
Jenni, R ;
Turina, MI .
ANNALS OF THORACIC SURGERY, 2001, 71 (05) :1675-1677
[3]   Cardiac tumours: an update [J].
Burke, Allen ;
Jeudy, Jean, Jr. ;
Virmani, Renu .
HEART, 2008, 94 (01) :117-123
[4]   Left atrial sarcoma: Resection and repair by cardiac autotransplant and in situ pericardial patch [J].
Doty, Donald B. ;
Doty, John R. ;
Reid, Bruce B. ;
Anderson, Jeffrey L. .
ANNALS OF THORACIC SURGERY, 2006, 82 (04) :1514-1517
[5]   Primary Cardiac Sarcoma [J].
Hamidi, Maryam ;
Moody, John S. ;
Weigel, Tracey L. ;
Kozak, Kevin R. .
ANNALS OF THORACIC SURGERY, 2010, 90 (01) :176-181
[6]   Undifferentiated sarcoma of the heart: A rare clinicopathologic presentation [J].
Orlandi, A ;
Ferlosio, A ;
Dell'Anna, V ;
Quitadamo, R ;
Pellegrino, A ;
Spagnoli, LG .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 124 (01) :192-193
[7]   PRIMARY CARDIAC SARCOMAS [J].
PUTNAM, JB ;
SWEENEY, MS ;
COLON, R ;
LANZA, LA ;
FRAZIER, OH ;
COOLEY, DA .
ANNALS OF THORACIC SURGERY, 1991, 51 (06) :906-910
[8]   Malignant primary cardiac tumors [J].
Simpson, Lijo ;
Kumar, Shaji K. ;
Okuno, Scott H. ;
Schaff, Hartzell V. ;
Porrata, Luis F. ;
Buckner, Jan C. ;
Moynihan, Timothy J. .
CANCER, 2008, 112 (11) :2440-2446