Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
Case Reports [Acquired Cardiovascular Surgery]
A Case of Surgical Treatment of Primary Cardiac Intimal Sarcoma in the Left Atrium
Tadahiro Murakami, Hirokazu Minamimura, Toshio Baba, Atsutaka Aratame, Hidekazu Hirai, Hiroyuki Seo, Daisuke Kaku
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2022 Volume 51 Issue 5 Pages 274-279

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Abstract

Primary cardiac malignant tumor is rare and is associated with very poor survival. We report a case of a 45-year-old female who presented with dyspnea and general edema due to severe congestive heart failure, in whom an echocardiographic exam showed a large mass in the left atrium, mitral valve regurgitation and tricuspid valve regurgitation and the tumor resection, mitral valve repair and tricuspid annuloplasty were performed under semi-emergency. The pathological diagnosis of the resected tumor was cardiac intimal sarcoma which recurred; the patient needed re-surgery after 1 year and 5 months, and chemotherapy by pazopanib was performed. She died due to widespread metastasis. A relatively long-term survival of two years and 1 month after the initial surgery was achieved.

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© 2022 The Japanese Society for Cardiovascular Surgery
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