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Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report

INTRODUCTION: Primary cardiac angiosarcoma is rare, and its prognosis remains poor. Complete surgical resection is the first choice among the available treatments, to ensure prolonged patient survival. PRESENTATION OF CASE: We report the case of a 72-year-old man with right atrial angiosarcoma who p...

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Detalles Bibliográficos
Autores principales: Gonda, Hirotake, Nakayama, Masato, Toyama, Masashi, Kato, Takehito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150426/
https://www.ncbi.nlm.nih.gov/pubmed/32276219
http://dx.doi.org/10.1016/j.ijscr.2020.03.045
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author Gonda, Hirotake
Nakayama, Masato
Toyama, Masashi
Kato, Takehito
author_facet Gonda, Hirotake
Nakayama, Masato
Toyama, Masashi
Kato, Takehito
author_sort Gonda, Hirotake
collection PubMed
description INTRODUCTION: Primary cardiac angiosarcoma is rare, and its prognosis remains poor. Complete surgical resection is the first choice among the available treatments, to ensure prolonged patient survival. PRESENTATION OF CASE: We report the case of a 72-year-old man with right atrial angiosarcoma who presented with bloody pericardial effusion due to tumor hemorrhaging. Emergency surgery was performed. The right atrial free wall and vena cava were reconstructed with pedicled autologous pericardium. The patient died 12 months later because of multiple organ failure due to metastasis. Autopsy showed a maintained right atrial chamber and only mild calcification. DISCUSSION: Pedicled autologous pericardium may have contributed to preserving cardiac function that could withstand chemotherapy and radiotherapy. CONCLUSION: Pedicled autologous pericardium was found to be useful for reconstructing the cardiac chamber after removal of a cardiac tumor.
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spelling pubmed-71504262020-04-14 Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report Gonda, Hirotake Nakayama, Masato Toyama, Masashi Kato, Takehito Int J Surg Case Rep Article INTRODUCTION: Primary cardiac angiosarcoma is rare, and its prognosis remains poor. Complete surgical resection is the first choice among the available treatments, to ensure prolonged patient survival. PRESENTATION OF CASE: We report the case of a 72-year-old man with right atrial angiosarcoma who presented with bloody pericardial effusion due to tumor hemorrhaging. Emergency surgery was performed. The right atrial free wall and vena cava were reconstructed with pedicled autologous pericardium. The patient died 12 months later because of multiple organ failure due to metastasis. Autopsy showed a maintained right atrial chamber and only mild calcification. DISCUSSION: Pedicled autologous pericardium may have contributed to preserving cardiac function that could withstand chemotherapy and radiotherapy. CONCLUSION: Pedicled autologous pericardium was found to be useful for reconstructing the cardiac chamber after removal of a cardiac tumor. Elsevier 2020-04-03 /pmc/articles/PMC7150426/ /pubmed/32276219 http://dx.doi.org/10.1016/j.ijscr.2020.03.045 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gonda, Hirotake
Nakayama, Masato
Toyama, Masashi
Kato, Takehito
Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report
title Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report
title_full Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report
title_fullStr Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report
title_full_unstemmed Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report
title_short Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report
title_sort primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150426/
https://www.ncbi.nlm.nih.gov/pubmed/32276219
http://dx.doi.org/10.1016/j.ijscr.2020.03.045
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