Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Successful surgical excision of primary right atrial angiosarcoma. | Bouma et al. Journal of Cardiothoracic Surgery 2011 6 47 http content 6 1 47 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Successful surgical excision of primary right atrial angiosarcoma Ạ k .z D r I I ws s 1 f zl I- D I_I I nx I r 2 f I I Z k zU z D A I I Z m r 2 A I II_I Cl II ir m Z S I I Z S V4 11 A ỉ z v- i z l Z z I_I z zr f 2 I I z s c k z I r 1 wobbe DOUmd Chris rn Lexis lineKe P Willems Albert JH suurmeijer Iwan CC van der Horst ijaiK tbels and Massimo A Mariani1 Abstract Primary cardiac angiosarcoma is a rare and aggressive tumor with a high incidence of metastatic spread up to 89 at the time of diagnosis which restricts the indication for surgical resection to a small number of patients. We report the case of a 50-year old Caucasian woman with non-metastatic primary right atrial angiosarcoma who underwent successful surgical excision of the tumor with curative intent and reconstruction of the right atrium with a porcine pericardial patch. However after a symptom-free survival of five months the patient presented with bone and liver metastases without evidence of local tumor recurrence. Introduction Angiosarcomas although rare are the most common primary malignant neoplasms of the heart 1 2 . Although symptoms are often nonspecific and absent for a long time primary cardiac angiosarcomas PCAs may present abruptly at which p oint there is often already metastatic spread 2 3 . This restricts the indication for surgical resection to a small number of patients. In this report we describe the case of a 50-year old Caucasian woman with non-metastatic primary right atrial angiosarcoma who underwent successful surgical excision of the tumor and reconstruction of the right atrium with a porcine pericardial patch. Surgical resection was performed with curative intent and resection margins were free of tumor cells. However after a symptom-free survival of five months the patient presented with bone and liver .
