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Updated: Jun 4, 2026

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection

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Published on: December 30, 2025

Outcomes after right-side heart sarcoma resection.

Min P Kim¹, Arlene M Correa, Shanda Blackmon

¹Department of Surgery, Methodist Hospital, Houston, Texas, USA.

The Annals of Thoracic Surgery

|March 1, 2011

Summary

This summary is machine-generated.

Outcomes after right-side heart sarcoma resection are poor, with a 5-year survival rate of 17%. Achieving negative surgical margins is crucial for improving survival in cardiac sarcoma patients.

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Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection

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Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

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Published on: October 6, 2023

Area of Science:

Cardiovascular Surgery
Surgical Oncology
Cardiac Tumors

Background:

Tumor location significantly impacts presentation, therapy, and outcomes in primary cardiac sarcoma.
Right-side heart sarcoma presents unique challenges in surgical management and patient prognosis.

Purpose of the Study:

To investigate the clinical outcomes following surgical resection of right-side heart sarcoma.
To identify predictors of survival in patients undergoing right-side heart sarcoma resection.

Main Methods:

Retrospective analysis of clinicopathologic data from 57 patients who underwent right-side heart sarcoma resection.
Literature search to supplement institutional data.
Univariate and multivariate analyses to determine survival predictors.

Main Results:

The 30-day mortality rate was 14%, with right-side heart failure being the most common complication.
The overall 5-year survival rate was 17%, with a median survival of 9 months.
Negative surgical margins were the sole independent predictor of improved survival (36% 5-year survival vs. 0% with positive margins).

Conclusions:

Right-side heart sarcoma resection is associated with worse survival compared to left-side or pulmonary artery sarcoma.
Positive surgical margin status independently predicts reduced survival.
Induction chemotherapy should be considered to improve resectability and achieve negative margins in right-side heart sarcoma.