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Surgical management of large undifferentiated cardiac sarcoma involving the right ventricle to pulmonary trunk.

Abstract

A large intra-cardiac tumor from the right ventricle to pulmonary trunk was detected by contrast-enhanced computed tomography and transthoracic echocardiography in a 59-year-old woman with progressive dyspnea on effort and acute congestive right-sided heart failure. Emergent surgical management was performed with cardiopulmonary bypass under cardiac arrest, however, tumor resection was incomplete, because it originated from the interventricular septum. Concomitant tricuspid valve replacement using a bioprosthesis was required due to the involvement of the septal leaflet of the tricuspid valve. Although large pulmonary thromboembolism was initially suspected, a pathological examination confirmed undifferentiated cardiac sarcoma. The patient did not consent to additional neoadjuvant chemotherapy or radiation therapy. After palliative surgical management, she was discharged. Recurrence rapidly progressed and the patient died approximately 2 months after surgery. We herein present a successful palliative surgical case of large cardiac undifferentiated sarcoma originating from the intraventricular septum and involving the right ventricle to pulmonary trunk.

Authors+Show Affiliations

Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan. hfurukawa@med.kawasaki-m.ac.jp.Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31541347

Citation

Furukawa, Hiroshi, et al. "Surgical Management of Large Undifferentiated Cardiac Sarcoma Involving the Right Ventricle to Pulmonary Trunk." General Thoracic and Cardiovascular Surgery, 2019.
Furukawa H, Honda T, Yamasawa T, et al. Surgical management of large undifferentiated cardiac sarcoma involving the right ventricle to pulmonary trunk. Gen Thorac Cardiovasc Surg. 2019.
Furukawa, H., Honda, T., Yamasawa, T., Kanaoka, Y., & Tanemoto, K. (2019). Surgical management of large undifferentiated cardiac sarcoma involving the right ventricle to pulmonary trunk. General Thoracic and Cardiovascular Surgery, doi:10.1007/s11748-019-01208-1.
Furukawa H, et al. Surgical Management of Large Undifferentiated Cardiac Sarcoma Involving the Right Ventricle to Pulmonary Trunk. Gen Thorac Cardiovasc Surg. 2019 Sep 20; PubMed PMID: 31541347.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of large undifferentiated cardiac sarcoma involving the right ventricle to pulmonary trunk. AU - Furukawa,Hiroshi, AU - Honda,Takeshi, AU - Yamasawa,Takahiko, AU - Kanaoka,Yuji, AU - Tanemoto,Kazuo, Y1 - 2019/09/20/ PY - 2019/05/23/received PY - 2019/09/09/accepted PY - 2019/9/22/entrez KW - Cardiac sarcoma KW - Congestive heart failure KW - Right ventricle KW - Tricuspid valve replacement KW - Undifferentiated sarcoma JF - General thoracic and cardiovascular surgery JO - Gen Thorac Cardiovasc Surg N2 - A large intra-cardiac tumor from the right ventricle to pulmonary trunk was detected by contrast-enhanced computed tomography and transthoracic echocardiography in a 59-year-old woman with progressive dyspnea on effort and acute congestive right-sided heart failure. Emergent surgical management was performed with cardiopulmonary bypass under cardiac arrest, however, tumor resection was incomplete, because it originated from the interventricular septum. Concomitant tricuspid valve replacement using a bioprosthesis was required due to the involvement of the septal leaflet of the tricuspid valve. Although large pulmonary thromboembolism was initially suspected, a pathological examination confirmed undifferentiated cardiac sarcoma. The patient did not consent to additional neoadjuvant chemotherapy or radiation therapy. After palliative surgical management, she was discharged. Recurrence rapidly progressed and the patient died approximately 2 months after surgery. We herein present a successful palliative surgical case of large cardiac undifferentiated sarcoma originating from the intraventricular septum and involving the right ventricle to pulmonary trunk. SN - 1863-6713 UR - https://www.unboundmedicine.com/medline/citation/31541347/Surgical_management_of_large_undifferentiated_cardiac_sarcoma_involving_the_right_ventricle_to_pulmonary_trunk L2 - https://dx.doi.org/10.1007/s11748-019-01208-1 DB - PRIME DP - Unbound Medicine ER -