Staged surgery for advanced cardiac intimal sarcoma involving the right atrium and the inferior vena cava
Journal
Journal of cardiac surgery
Journal Volume
36
Journal Issue
10
ISSN
08860440
Date Issued
2021-10
Author(s)
Abstract
Intimal sarcomas simultaneously involving the right atrium and the inferior vena cava (IVC) are rare. We report an advanced cardiac intimal sarcoma in the right atrium of a 19-year-old man that was complicated by tumor-related IVC thrombosis. We initially performed partial tumor resection and vena cava thrombectomy to resolve the circulatory obstruction, because complete resection was difficult due to the invading malignancy and an unclear margin. The patient received adjuvant chemo- and radiotherapy along with anticoagulant therapy. After 3 months, the border of the residual sarcoma was clear, and the patient underwent a secondary complete sarcoma excision (including that of the right atrium) and a suprahepatic vena cava reconstruction. At the 2-year follow-up, there was no tumor recurrence. We conclude that aggressive treatment and a staged complete resection can lead to improved outcomes for advanced cardiac intimal sarcoma with poor prognosis.
Subjects
cardiac intimal sarcoma
cardiac tumor
inferior vena cava thrombosis
SDGs
Other Subjects
anticoagulant agent; doxorubicin; edoxaban; ifosfamide; abdominal distension; abdominal tenderness; adjuvant radiotherapy; adult; anticoagulant therapy; Article; ascites; cancer adjuvant therapy; cancer surgery; cardiac intimal sarcoma; case report; clinical article; computer assisted tomography; dyspnea; emergency surgery; follow up; heart right atrium; heart sarcoma; histopathology; human; hypoxemia; inferior cava vein; leg edema; male; nausea; physical examination; prescription; sternotomy; thrombectomy; thrombosis; transthoracic echocardiography; vomiting; young adult; diagnostic imaging; heart atrium; sarcoma; tumor recurrence; Adult; Heart Atria; Humans; Male; Neoplasm Recurrence, Local; Sarcoma; Thrombectomy; Vena Cava, Inferior; Young Adult
Publisher
John Wiley and Sons Inc
Type
journal article