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Primary osteosarcoma of heart with severe congestive heart failure
H Minami1, N Wakita, Y Kawanishi
1Department of Cardiovascular Surgery, Kobe Rosai Hospital, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|October 13, 2000
Insights
A rare extraskeletal osteosarcoma in the left atrium caused severe heart failure in a 54-year-old woman. Despite surgical resection, the patient succumbed to the cardiac tumor 9 months post-operation.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Extraskeletal osteosarcoma is a rare malignant bone tumor that can arise outside the skeleton.
- Cardiac tumors are uncommon, with primary cardiac osteosarcoma being exceptionally rare.
Observation:
- A 54-year-old woman presented with severe congestive heart failure attributed to a large tumor occupying the left atrium.
- The tumor extensively infiltrated the atrial wall, indicating aggressive local invasion.
Findings:
- Surgical resection of the left atrial extraskeletal osteosarcoma was performed.
- Despite surgical intervention, the patient died from tumor progression 9 months post-surgery.
- This case represents the 32nd reported instance of cardiac osteosarcoma globally.
Implications:
- This case highlights the aggressive nature and poor prognosis of cardiac osteosarcoma.
- Early diagnosis and multidisciplinary management are crucial for improving outcomes in rare cardiac tumors.
- Further research into the pathogenesis and treatment of extraskeletal osteosarcoma is warranted.
Abstract:
We present a case report on a 54-year-old woman with extraskeletal osteosarcoma of the left atrium featuring severe congestive heart failure. We resected the tumor, which occupied the left atrium and had widely infiltrated the atrial wall, but the patients died of the tumor 9 months after surgery. This is to our knowledge the 32nd case of cardiac osteosarcoma ever reported.