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Removal of the left atrium and left ventricle tumour: a case report
Stanisław Ostrowski1, Anna Marcinkiewicz, Anna Kośmider
1Department of Cardiac Surgery, 1 Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Poland.
Insights
Cardiac tumors are rare and often diagnosed late. This case highlights a patient with a heart neoplasm and lymphadenopathy, demonstrating challenges in diagnosis and treatment of rare cardiac tumors.
Area of Science:
- Cardiology
- Oncology
- Cardiac Surgery
Background:
- Primary cardiac neoplasms are rare, often presenting late with poor prognoses despite advanced diagnostics.
- Neoplasms in the heart can infiltrate vital structures like the left atrium, mitral valve, and left ventricle.
- Mediastinal lymphadenopathy can accompany cardiac tumors, complicating surgical approach and prognosis.
Abstract:
The heart is the rarest site for neoplasms to be localized. Despite modern diagnostic techniques, cardiac tumours continue to among those discovered latest and with the worst prognoses. We present the case of a 62-year-old woman with a heart tumour and mediastinal lymphadenopathy, who was admitted to the Department of Cardiac Surgery. The patient underwent surgical removal of the tumour with extracorporeal circulation. The left atrium, mitral valve and the left ventricle were occupied by the infiltration. A radical resection appeared to be impossible. A valvular prosthesis was not implanted. The perioperative period was uncomplicated. On the 9(th) day a local recurrence was confirmed in the transthoracic echocardiography. Further oncological diagnostics revealed the spread of the malignant neoplasm to bones of the pelvis and spine. Chemotherapy was initiated. The authors discuss the most appropriate diagnostic and treatment procedures employed in the above case.
