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Cardiac sarcoma attached to pacemaker lead
Author(s) -
Sia ChingHui,
Goh Fang Qin,
Kong William KokFai,
Wu Bingcheng,
Paranjothy Suresh
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14541
Subject(s) - medicine , mediastinitis , sarcoma , presentation (obstetrics) , myxoma , undifferentiated pleomorphic sarcoma , radiology , cardiology , surgery , pathology , soft tissue sarcoma
Background and Aim Cardiac sarcoma is a rare condition and may mimic atrial myxoma. We present a case report of a man with a cardiac sarcoma. Method Case report presentation. Results A 68‐year‐old man with a permanent pacemaker presented to us with a 4‐month history of breathlessness. Echocardiography revealed a large right atrial mass adherent to the pacemaker lead and a provisional diagnosis of atrial myxoma was made based on echocardiographic appearance. A 60 x 30 x 30 mm irregular lobulated tumour was surgically resected from the right atrium. Upon histopathologic examination, the tumour was consistent with an undifferentiated pleomorphic sarcoma. Conclusion Cardiac sarcomas have an extremely poor prognosis and more unfortunately this man developed a surgical site infection and died of acute mediastinitis. We discuss the presentation, imaging and current surgical approaches to cardiac sarcoma. Curative treatment is currently limited for this disease.