https://scholars.lib.ntu.edu.tw/handle/123456789/589414
標題: | Staged surgery for advanced cardiac intimal sarcoma involving the right atrium and the inferior vena cava | 作者: | Chen, Yu-An Li, Yueh JEN-CHIEH LEE JENG-WEI CHEN |
關鍵字: | cardiac intimal sarcoma; cardiac tumor; inferior vena cava thrombosis | 公開日期: | 十月-2021 | 卷: | 36 | 期: | 10 | 來源出版物: | Journal of cardiac surgery | 摘要: | 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. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/589414 | ISSN: | 08860440 | DOI: | 10.1111/jocs.15885 | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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