Life-threatening Acute Heart Failure due to Primary Cardiac Undifferentiated Pleomorphic Sarcoma

A 41-year-old man was admitted with acute heart failure and shock status. An echocardiogram showed a mobile tumor obstructing blood flow through the mitral valve with a stalk on the posterior left atrium (LA) wall. Emergent open-heart surgery was performed to resect the tumor (77×36×30 mm). Histolog...

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Veröffentlicht in:	Internal Medicine 2014, Vol.53(16), pp.1775-1777
Hauptverfasser:	Abe, Daisuke, Sato, Akira, Takeyasu, Noriyuki, Tokunaga, Chiho, Akishima, Shinji, Iijima, Tatsuo, Sakakibara, Yuzuru, Aonuma, Kazutaka
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease acute heart failure Aged Cardiac Surgical Procedures Electrocardiography Heart Failure - etiology Heart Failure - surgery Heart Neoplasms - complications Heart Neoplasms - diagnosis Heart Neoplasms - pathology Heart Neoplasms - surgery Humans Male Neoplasm Recurrence, Local - pathology Neoplasm Recurrence, Local - radiotherapy primary undifferentiated pleomorphic sarcoma proton beam radiotherapy Sarcoma - complications Sarcoma - diagnosis Sarcoma - pathology Sarcoma - surgery Treatment Outcome
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Zusammenfassung:	A 41-year-old man was admitted with acute heart failure and shock status. An echocardiogram showed a mobile tumor obstructing blood flow through the mitral valve with a stalk on the posterior left atrium (LA) wall. Emergent open-heart surgery was performed to resect the tumor (77×36×30 mm). Histological examination confirmed that it was an undifferentiated pleomorphic sarcoma. Unfortunately, positron emission tomography performed five months after surgery demonstrated a local recurrence around the right pulmonary vein and LA. We performed proton beam radiotherapy to treat the local recurrence, and it was effective. The patient has survived more than one year since the first life-threatening heart failure episode.
ISSN:	0918-2918 1349-7235
DOI:	10.2169/internalmedicine.53.2124