Related Experiment Video
Updated: Jun 5, 2026
12:34
Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
Published on: January 3, 2020
Radical Resection Using the Commando Procedure for Recurrent Cardiac Intimal Sarcoma in a Young Adult: A Case Report
Masahide Komagamine1, Yoshiki Yamasaki1, Tsuyoshi Kono1
1Department of Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Summary
A rare cardiac intimal sarcoma recurred in a young patient despite initial recovery. The aggressive Commando procedure, involving radical resection and reconstruction, proved effective for treating this aggressive malignancy.
Area of Science:
- Cardiovascular Surgery
- Surgical Oncology
- Pathology
Background:
- Primary cardiac intimal sarcoma is a rare, aggressive malignancy with high recurrence rates.
- Early detection and aggressive management are crucial for improving patient outcomes.
Purpose of the Study:
- To report a case of recurrent cardiac intimal sarcoma in a young patient.
- To evaluate the efficacy of the Commando procedure for recurrent cardiac intimal sarcoma.
Main Methods:
- Emergency resection of a large left atrial intimal sarcoma.
- Radical resection, double valve replacement, and intervalvular fibrosa reconstruction using the Manouguian technique (Commando procedure) for recurrent tumor.
- Histopathological examination to confirm diagnosis and assess surgical margins.
Main Results:
- A 28-year-old male presented with a recurrent 15-mm left atrial intimal sarcoma 6 months after initial resection.
- The Commando procedure was successfully performed, achieving negative surgical margins.
- Histopathology confirmed recurrent intimal sarcoma.
Conclusions:
- The Commando procedure is a viable treatment option for young patients with recurrent cardiac intimal sarcoma.
- Aggressive surgical reconstruction is essential for improving the prognosis of this rare and fatal malignancy.
