Total Artificial Heart Implantation After Undifferentiated High-Grade Sarcoma Excision

BACKGROUND: Total artificial heart (TAH) implantation in patients with aggressive tumor infiltration of the heart can be challenging. CASE REPORT: We report on a patient with a rare primary undifferentiated high-grade spindle cell sarcoma of the mitral valve and in the left atrium, first diagnosed i...

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Detalles Bibliográficos
Autores principales: Kremer, Jamila, Farag, Mina, Arif, Rawa, Brcic, Andreas, Sabashnikov, Anton, Schmack, Bastian, Popov, Aron-Frederik, Karck, Matthias, Dohmen, Pascal M., Ruhparwar, Arjang, Weymann, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103823/
https://www.ncbi.nlm.nih.gov/pubmed/27803495
http://dx.doi.org/10.12659/MSMBR.901526
Descripción
Sumario:BACKGROUND: Total artificial heart (TAH) implantation in patients with aggressive tumor infiltration of the heart can be challenging. CASE REPORT: We report on a patient with a rare primary undifferentiated high-grade spindle cell sarcoma of the mitral valve and in the left atrium, first diagnosed in 2014. The referring center did a first resection in 2014. In the course of 17 months, computer tomography (CT) scan again showed massive invasion of the mitral valve and left atrium. Partial resection and mitral valve replacement was not an option. We did a subtotal heart excision with total artificial heart implantation. In this report we discuss complications, risk factors, and perioperative management of this patient. CONCLUSIONS: Patients with aggressive tumors of the heart can be considered for TAH implantation.

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