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Biatrial High-Grade Leiomyosarcoma With Nine-Year Post-Surgical Survival.

Lakshmi Muthukumar1, M Fuad Jan1, Robert Taylor2

  • 1Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Milwaukee, Wisconsin.

The Annals of Thoracic Surgery
|December 24, 2016
PubMed
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Primary cardiac leiomyosarcoma, a rare cancer, can be aggressively treated with surgery and radiation. This case study shows a patient living well 9 years post-treatment for biatrial leiomyosarcoma.

Area of Science:

  • Cardiology
  • Oncology
  • Surgical Oncology

Background:

  • Primary cardiac leiomyosarcoma is an exceptionally rare and aggressive malignancy with a typically poor prognosis.
  • Early diagnosis and comprehensive treatment strategies are crucial for managing these challenging tumors.

Observation:

  • A 53-year-old female presented with a biatrial leiomyosarcoma.
  • The tumor involved the inferior vena cava and coronary sinus, necessitating complex surgical intervention.

Findings:

  • The patient underwent extensive surgical resection of the cardiac tumor.
  • Reconstruction of the left atrium, right atrium, and coronary sinus was performed using bovine pericardium.
  • Adjuvant radiation therapy was administered post-operatively.

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Implications:

  • This case demonstrates the potential for long-term survival and favorable outcomes in select patients with advanced primary cardiac leiomyosarcoma.
  • Aggressive surgical management combined with adjuvant therapy can be a viable strategy for this rare condition.
  • Further research into optimal treatment paradigms for cardiac sarcomas is warranted.