Korean J Thorac Cardiovasc Surg.  2003 Jun;36(6):422-426.

Primary Left Atrial Myxofibrosarcoma: A case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea. cjlee@ajou.ac.kr
  • 2Department of Pathology, Ajou University School of Medicine, Korea.

Abstract

Primary cardiac tumor has very low incidence, especially in cases of malignancy. A 29 year old male patient visited our cardiologic clinic for recent aggrevation of dyspnea on exertion and palpitation. Echocardiography showed a large tumor in the left atrium, which suggested the left atrial myxoma. Urgent open heart surgery was taken. The operative finding was fossa ovalis based a large tumor (35 x 90 x 50 mm) that invaded the posterior wall of LA and right superior pulmonary vein directly. The tumor was excised well by simple dissection, and the final pathologic report was malignant myxofibrosarcoma. His postoperative course was smooth and he was discharged in good health. Postoperative radiation and chemotherapy had taken with satisfactory clinical outcome.

Keyword

Heart neoplasms; Myxoma

MeSH Terms

Adult
Drug Therapy
Dyspnea
Echocardiography
Heart Atria
Heart Neoplasms
Humans
Incidence
Male
Myxoma
Pulmonary Veins
Thoracic Surgery
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