A Case of Surgical Treatment of Primary Cardiac Intimal Sarcoma in the Left Atrium
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 regu...
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| Veröffentlicht in: | Japanese Journal of Cardiovascular Surgery 2022/09/15, Vol.51(5), pp.274-279 |
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| container_end_page | 279 |
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| container_issue | 5 |
| container_start_page | 274 |
| container_title | Japanese Journal of Cardiovascular Surgery |
| container_volume | 51 |
| creator | Murakami, Tadahiro Minamimura, Hirokazu Baba, Toshio Aratame, Atsutaka Hirai, Hidekazu Seo, Hiroyuki Kaku, Daisuke |
| description | 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. |
| doi_str_mv | 10.4326/jjcvs.51.274 |
| format | Article |
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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.</description><identifier>ISSN: 0285-1474</identifier><identifier>EISSN: 1883-4108</identifier><identifier>DOI: 10.4326/jjcvs.51.274</identifier><language>eng ; jpn</language><publisher>The Japanese Society for Cardiovascular Surgery</publisher><subject>cardiac intimal sarcoma ; pazopanib ; primary cardiac malignant tumor ; re-surgery</subject><ispartof>Japanese Journal of Cardiovascular Surgery, 2022/09/15, Vol.51(5), pp.274-279</ispartof><rights>2022 The Japanese Society for Cardiovascular Surgery</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1314-bc9fb2e59a171a1755dd9f69ff9a569142ab8c7458481faff2f58a107d31dfc53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids></links><search><creatorcontrib>Murakami, Tadahiro</creatorcontrib><creatorcontrib>Minamimura, Hirokazu</creatorcontrib><creatorcontrib>Baba, Toshio</creatorcontrib><creatorcontrib>Aratame, Atsutaka</creatorcontrib><creatorcontrib>Hirai, Hidekazu</creatorcontrib><creatorcontrib>Seo, Hiroyuki</creatorcontrib><creatorcontrib>Kaku, Daisuke</creatorcontrib><title>A Case of Surgical Treatment of Primary Cardiac Intimal Sarcoma in the Left Atrium</title><title>Japanese Journal of Cardiovascular Surgery</title><addtitle>J. J. C. V. S.</addtitle><description>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. 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J. C. V. S.</addtitle><date>2022-09-15</date><risdate>2022</risdate><volume>51</volume><issue>5</issue><spage>274</spage><epage>279</epage><pages>274-279</pages><issn>0285-1474</issn><eissn>1883-4108</eissn><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. 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| ispartof | Japanese Journal of Cardiovascular Surgery, 2022/09/15, Vol.51(5), pp.274-279 |
| issn | 0285-1474 1883-4108 |
| language | eng ; jpn |
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| source | J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | cardiac intimal sarcoma pazopanib primary cardiac malignant tumor re-surgery |
| title | A Case of Surgical Treatment of Primary Cardiac Intimal Sarcoma in the Left Atrium |
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