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Published on: June 11, 2019
Primary Cardiac Leiomyosarcoma Extending From Right Atrium to Inferior Vena Cava Without Metastasis: A Case Report
Jennifer Chong1, Tanya Richvalsky2, Sridhar Musuku2
1Cardiothoracic Surgery, Albany Medical Center, Albany, USA.
Insights
A rare intracardiac mass, identified as high-grade leiomyosarcoma, was successfully excised in a patient with a history of acute lymphoblastic leukemia. This case highlights the surgical management of rare cardiac tumors.
Area of Science:
- Cardiovascular Surgery
- Oncology
- Radiology
Background:
- A 27-year-old female with a history of acute lymphoblastic leukemia in remission presented with concerning symptoms.
- Initial investigations revealed hepatic vein thrombosis and cirrhosis, prompting further imaging.
- Computed tomography (CT) and magnetic resonance imaging (MRI) identified a significant intracardiac mass.
Abstract:
A 27-year-old female with a history of acute lymphoblastic leukemia in remission presented with chest pain, liver cirrhosis, and a thrombus in the hepatic vein on ultrasound. Further workup with computed tomography (CT) and magnetic resonance imaging (MRI) revealed a mass extending from the inferior vena cava to the right atrium, 3.4 x 3.4 x 7.0 cm in size. She underwent excision of the intracardiac mass with a full sternotomy and cardiopulmonary bypass successfully. Her postoperative course was uncomplicated. She was discharged home on postoperative day six. Subsequent histopathology confirmed high-grade leiomyosarcoma. Postoperative positron emission tomography CT showed no evidence of metastatic disease.

