Korean J Thorac Cardiovasc Surg.  2020 Jun;53(3):140-143. 10.5090/kjtcs.2020.53.3.140.

Cardiac Autotransplantation with Concurrent Pneumonectomy for Complete Resection of Primary Cardiac Intimal Sarcoma

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital
  • 2Department of Thoracic and Cardiovascular Surgery, Jeju National University School of Medicine, Jeju, Korea
  • 3Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Primary cardiac sarcoma is rare, and intimal sarcoma is an extremely rare and highly lethal disease. We report a case of a 62-year-old woman who was incidentally diagnosed with a primary cardiac sarcoma originating from the left atrial appendage and extending to the left superior pulmonary vein. The location of the tumor was very complicated, posing a major challenge for complete resection. We successfully performed complete resection of the cardiac sarcoma via cardiac autotransplantation with left pneumonectomy. The patient recovered uneventfully, without any adjuvant therapy as of 6 months postoperatively. Autotransplantation of the heart may be suggested as a reasonable surgical option for extensive left atrial tumors.

Keyword

Autologous transplantation; Heart neoplasms; Sarcoma
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