A Case of Surgical Treatment of Primary Cardiac Intimal Sarcoma in the Left Atrium

VernacularTitle:左心房原発心臓内膜肉腫の1手術例
Author: Tadahiro MURAKAMI ¹ ; Hirokazu MINAMIMURA ² ; Toshio BABA ² ; Atsutaka ARATAME ² ; Hidekazu HIRAI ¹ ; Hiroyuki SEO ¹ ; Daisuke KAKU ¹
Author Information

1. Department of Cardiovascular Surgery, Osaka Saiseikai-Noe Hospital
2. Department of Cardiovascular Surgery, Bellland General Hospital
Keywords: primary cardiac malignant tumor; cardiac intimal sarcoma; pazopanib; re-surgery
From:Japanese Journal of Cardiovascular Surgery 2022;51(5):274-279
CountryJapan
Language:Japanese
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.