Primary sarcoma of the right ventricle: surgical and adjuvant therapy
| Autor: | Ke-Xiang Liu, Fumio Yamamoto, Kazuyuki Ishibashi, Hiroshi Yamamoto, Hitoshi Hasegawa, Makoto Matsukawa |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Biopsy Heart Ventricles Arterial Occlusive Diseases Constriction Pathologic Pulmonary Artery Heart Neoplasms Fatal Outcome Restenosis medicine.artery Internal medicine medicine Adjuvant therapy Humans Cardiac Surgical Procedures Heart Valve Prosthesis Implantation Pulmonary Valve Brain Neoplasms business.industry Sarcoma General Medicine medicine.disease Echocardiography Doppler Cardiac surgery Dyspnea Treatment Outcome medicine.anatomical_structure Cardiothoracic surgery Ventricle Pulmonary artery Cardiology Radiotherapy Adjuvant Surgery Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Brain metastasis |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 57:421-425 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-009-0403-7 |
| Popis: | We describe surgical and adjuvant therapeutic management of a right ventricular (RV) sarcoma and pulmonary artery occlusion. Echocardiographic evaluation of a 39-year-old man with exertional dyspnea revealed a tumor mass in the right ventricle, pulmonary trunk, and bilateral pulmonary arteries. The tumor was resected with concomitant pulmonary valvotomy, but the resection was incomplete. The RV outflow was reconstructed with an allograft patch, and a stentless valve was implanted for pulmonary valvular function. The pulmonary trunk and arteries were enlarged with allograft patches. The tumor was undifferentiated sarcoma and caused postoperative pulmonary artery restenosis. Radiotherapy improved pulmonary perfusion (reduction of RV pressure), but the patient died of brain metastasis. Undifferentiated cardiac sarcomas associated with pulmonary hypoperfusion should be resected even if incompletely, and radiation therapy could alleviate reduced pulmonary perfusion. |
| Databáze: | OpenAIRE |
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