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Published on: February 20, 2026
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Cardiac tumors: leiomyosarcoma - a case report.
Włodzimierz Gierlak1, Joanna Syska-Sumińska1, Piotr Zieliński1
1Department of Cardiology, Hypertension, and Internal Diseases, Second Faculty of Medicine, Medical University of Warsaw, Bródnowski Masovian Hospital, Warsaw, Poland.
Summary
This case report details a successful surgical resection of a left ventricular tumor in a patient with a history of leiomyosarcoma. The treatment managed postoperative complications and improved heart function, with no recurrence after 12 months.
Area of Science:
- Cardiovascular Medicine
- Oncology
- Surgical Case Reports
Background:
- Leiomyosarcoma can metastasize to various organs, including the heart.
- Cardiac tumors, though rare, require accurate diagnosis and timely intervention.
Observation:
- A 60-year-old woman presented with a left ventricular tumor diagnosed via echocardiography.
- The patient had a history of leiomyosarcoma in multiple locations.
- Postoperative complications included low cardiac output syndrome and bradyarrhythmia.
Findings:
- Radical tumor resection was successfully performed.
- Optimized medical therapy resolved low cardiac output syndrome and improved heart failure symptoms (NYHA III to NYHA II).
- No evidence of metastatic disease was found during the 12-month follow-up.
Implications:
- This case highlights the successful management of a rare cardiac tumor in a patient with a history of malignancy.
- It underscores the importance of a multidisciplinary approach in diagnosing and treating complex cardiovascular and oncological conditions.
- Radical surgical resection can be a viable option for selected cardiac tumors, even in patients with a history of metastatic disease.