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[Primary cardiac synovial sarcoma--a case report]

M Fujioka1, S Suehiro, T Shibata

  • 1Second Department of Surgery, Osaka City University Medical School, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|October 31, 1998
PubMed
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A rare cardiac synovial sarcoma, a primary heart tumor, caused severe symptoms in a young man. Despite surgical resection, the tumor recurred twice, leading to heart failure and the patient's death.

Area of Science:

  • Cardiovascular Pathology
  • Oncology
  • Surgical Pathology

Background:

  • Primary cardiac tumors are exceedingly rare, with synovial sarcoma being an exceptionally uncommon diagnosis.
  • Early detection and surgical intervention are critical for managing cardiac neoplasms.

Observation:

  • A 29-year-old male presented with dyspnea due to a large left atrial mass.
  • Echocardiography revealed a 42 mm tumor obstructing the mitral valve, causing heart failure.
  • Pathologic examination confirmed synovial sarcoma originating from the left atrial posterior wall.

Findings:

  • The patient underwent surgical resection of the primary cardiac synovial sarcoma.
  • Recurrence was observed at 4 months and again later, necessitating further surgical intervention.

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  • Despite aggressive treatment, the patient succumbed to progressive heart failure attributed to tumor recurrence.

    • Implications:

    • This case highlights the aggressive nature and propensity for recurrence of cardiac synovial sarcoma.
    • It underscores the challenges in managing rare primary heart tumors and the need for vigilant follow-up.
    • Further research into the molecular mechanisms and targeted therapies for cardiac sarcomas is warranted.