Combined Surgical Approach for Sarcoma Lung Metastasis with Atrial Involvement

W. Torre; C. Rábago; J. Barba; L. Sierrasesúmaga; J. Baixauli; J. Galbis

doi:10.1055/s-2007-1013124

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Thorac Cardiovasc Surg 1999; 47(2): 125-127
DOI: 10.1055/s-2007-1013124

Case Reports

Combined Surgical Approach for Sarcoma Lung Metastasis with Atrial Involvement

W. Torre¹ , C. Rábago, J. Barba² , L. Sierrasesúmaga³ , J. Baixauli¹ , J. Galbis¹

¹Services of General Thoracic Surgery, University Hospital, University of Navarra, Pamplona, Spain
²Cardiovascular Surgery, University Hospital, University of Navarra, Pamplona, Spain
³Department of Pediatric Oncology, University Hospital, University of Navarra, Pamplona, Spain

Weitere Informationen

Publikationsverlauf

1998

Publikationsdatum:
19. März 2008 (online)

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Abstract

A 20-year-old patient, who had been treated for a femur sarcoma with pulmonary metastases 8 years before, arrived at our institution with a new metastatic hilar lung nodule. During the Standard lobectomy procedure an unexpected atrial invasion by the tumor was discovered. Intraoperative transesophageal echocardiography (TEE) showed a big pediculated tumor in the atrium. Cardiopulmonary bypass (CPB) was required in order to safely resect the atrial wall with the tumor. The atrial defect was repaired with a pericardial patch. Postoperative course was uneventful. After 14 months, the patient is asymptomatic and free of disease.

Key words

Osteosarcoma surgery - Pulmonary metastases - Bone neoplasm