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Updated: Jan 26, 2026
07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
25.2K
Total artificial heart implantation after right ventricular intimal spindle cell sarcoma
Hassiba Smail1, Maria Monteagudo-Vela1, Ulrich Stock1
1Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
Summary
A patient with right ventricle high-grade spindle sarcoma received a total artificial heart after cardiectomy. The patient remained tumor-free for 12 months before a successful heart transplant.
Area of Science:
- Cardiovascular Surgery
- Surgical Oncology
- Cardiac Transplantation
Background:
- High-grade spindle sarcoma is a rare and aggressive malignancy.
- Right ventricular tumors pose significant surgical challenges due to their location and potential for hemodynamic compromise.
Observation:
- A patient presented with a high-grade spindle sarcoma originating in the right ventricle.
- The tumor necessitated aggressive surgical intervention to manage the malignancy and associated cardiac dysfunction.
Findings:
- Total cardiectomy was performed, followed by the implantation of a total artificial heart (TAH).
- The patient experienced an uncomplicated postoperative recovery and remained disease-free for 12 months post-TAH implantation.
Implications:
- This case highlights the feasibility of using a TAH as a bridge to transplantation in patients with complex cardiac malignancies.
- Successful management underscores the importance of multidisciplinary approaches in treating rare cardiac tumors.
- Long-term tumor surveillance is critical in patients with sarcomas undergoing cardiac procedures.
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