Thorac Cardiovasc Surg 2000; 48(5): 306-308
DOI: 10.1055/s-2000-7876
Case Report
© Georg Thieme Verlag Stuttgart · New York

Primary Left-Atrial Leiomyosarcoma

A. M. Fabricius1 , R. Autschbach1 , L. Lochhaas2 , S. Brose1 , F. W. Mohr1
  • 1Division of Cardiovascular Surgery, Heart Center
  • 2Division of Pathology University of Leipzig, Germany
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Publikationsdatum:
31. Dezember 2000 (online)

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A patient rapidly developing right heart failure due to a left-atrial leiomyosarcoma was admitted for surgery. A large tumor, originating in the left atrium and extending into both pulmonary veins, was removed. Histology showed an unusual epitheloid appearance of many cells with occasional mitoses and a strong immunexpression to desmin and actin. Six months later heart failure developed again: computer tomography demonstrated regrowth of the tumor in the left atrium with invasion of the mediastinum and the para-aortal lymph nodes. The patient died shortly after.

References

Received for Publication: August 23,1999

Dr. A. M. Fabricius

Division of Cardiovascular Surgery Herzzentrum Leipzig

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04289 Leipzig

Germany

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