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Metastatic Cardiac Sarcoma Arising from the Left Posterior Pulmonary Vein Treated with Combination Therapy of Surgical Resection and Preoperative Chemotherapy Treatment
Author(s) -
Aggeli Constantina,
Kastellanos Stilianos,
Pliarchopoulou Kika,
Felekos Ioannis,
Stefanadis Christodoulos
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12780
Subject(s) - medicine , asymptomatic , sarcoma , surgery , chemotherapy , chest pain , radiology , mitral valve , vein , mitral valve replacement , cardiology , pathology
Mini‐Abstract A 44‐year‐old man with pulmonary sarcoma presented symptoms of dyspnea, cough, chest pain, and fatigue. During echocardiographic examination, a large mass was revealed inside the left atrium causing severe mitral valve obstruction. The patient underwent chemotherapy with alleviation of symptoms. Follow‐up echocardiogram revealed decreased mass size and no mitral valve obstruction. The mass stemmed from the left posterior pulmonary vein. After surgical resection, the mass was revealed to be a sarcoma. Postsurgery echocardiogram was normal. The patient has remained asymptomatic. Chemotherapy may decrease the size of a cardiac sarcoma and alleviate mitral valve obstruction symptoms, thus facilitating complete resection.