Solitary cardiac metastasis of rectal adenocarcinoma
Solitary cardiac metastasis is rarely recognized. We report a case of solitary cardiac metastasis from a rectal adenocarcinoma that was manifested as superior vena cava (SVC) syndrome. Invasion of the deep cardiac structures was so severe that only its palliative resection and right atrial reconstru...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2003-07, Vol.51 (7), p.330-332 |
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| container_title | General thoracic and cardiovascular surgery |
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| creator | Koizumi, Junichi Agematsu, Kouta Ohkado, Akihiko Shiikawa, Akira Uchida, Tatsuro |
| description | Solitary cardiac metastasis is rarely recognized. We report a case of solitary cardiac metastasis from a rectal adenocarcinoma that was manifested as superior vena cava (SVC) syndrome. Invasion of the deep cardiac structures was so severe that only its palliative resection and right atrial reconstruction were performed using a cardiopulmonary bypass to release the SVC obstruction. The postoperative course was uneventful and the patient was discharged home without any complications. Adjuvant chemotherapy could not be performed because of the renal dysfunction. Eleven months later, the patient died from multiple metastasis of adenocarcinoma. Even though the surgery was not curative, it might be effective for release from symptoms and for elongating life expectancy. |
| doi_str_mv | 10.1007/bf02719389 |
| format | Article |
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We report a case of solitary cardiac metastasis from a rectal adenocarcinoma that was manifested as superior vena cava (SVC) syndrome. Invasion of the deep cardiac structures was so severe that only its palliative resection and right atrial reconstruction were performed using a cardiopulmonary bypass to release the SVC obstruction. The postoperative course was uneventful and the patient was discharged home without any complications. Adjuvant chemotherapy could not be performed because of the renal dysfunction. Eleven months later, the patient died from multiple metastasis of adenocarcinoma. 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We report a case of solitary cardiac metastasis from a rectal adenocarcinoma that was manifested as superior vena cava (SVC) syndrome. Invasion of the deep cardiac structures was so severe that only its palliative resection and right atrial reconstruction were performed using a cardiopulmonary bypass to release the SVC obstruction. The postoperative course was uneventful and the patient was discharged home without any complications. Adjuvant chemotherapy could not be performed because of the renal dysfunction. Eleven months later, the patient died from multiple metastasis of adenocarcinoma. 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We report a case of solitary cardiac metastasis from a rectal adenocarcinoma that was manifested as superior vena cava (SVC) syndrome. Invasion of the deep cardiac structures was so severe that only its palliative resection and right atrial reconstruction were performed using a cardiopulmonary bypass to release the SVC obstruction. The postoperative course was uneventful and the patient was discharged home without any complications. Adjuvant chemotherapy could not be performed because of the renal dysfunction. Eleven months later, the patient died from multiple metastasis of adenocarcinoma. Even though the surgery was not curative, it might be effective for release from symptoms and for elongating life expectancy.</abstract><cop>Japan</cop><pub>Springer Nature B.V</pub><pmid>12892468</pmid><doi>10.1007/bf02719389</doi><tpages>3</tpages></addata></record> |
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| ispartof | General thoracic and cardiovascular surgery, 2003-07, Vol.51 (7), p.330-332 |
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| source | MEDLINE; ProQuest Central (Alumni Edition); SpringerNature Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Abnormalities, Multiple Adenocarcinoma - pathology Adenocarcinoma - surgery Aged Cardiopulmonary Bypass Heart Neoplasms - pathology Heart Neoplasms - secondary Heart Neoplasms - surgery Humans Male Rectal Neoplasms - pathology Rectal Neoplasms - surgery Superior Vena Cava Syndrome - pathology Superior Vena Cava Syndrome - surgery Tomography, X-Ray Computed |
| title | Solitary cardiac metastasis of rectal adenocarcinoma |
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