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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1999 June;40(3):457-61

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Sarcoma of the main pulmonary artery: an unusual etiology for recurrent pulmonary emboli

Pagni S., Passik C. S., Riordan Ch., D’Agostino R. S.*

From the Divisions of Thoracic and Cardiovascular Surgery Hospital of Saint Raphael, New Haven, Connecticut and * Labey Hitchcock Medical Center, Burlington, Massachussets (USA)


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We ­describe a ­case of pri­mary pul­mo­nary ­artery (PA) ­trunk spin­dle ­cell sar­co­ma in an 86 ­year ­old ­female pre­sent­ing clin­i­cal­ly ­with debil­i­tat­ing ­signs of recur­rent pul­mo­nary embo­lism. Further exten­sive ­work aroused sus­pi­cion ­for pul­mo­nary ­artery malig­nan­cy. Palliative ­wide sur­gi­cal resec­tion, pul­mo­nary ­artery ­tumor embo­lec­to­my ­and recon­struc­tion of ­the prox­i­mal pul­mo­nary ­artery ­and ­right ven­tri­cle out­flow ­tract (­RVOT) ­with ­bovine per­i­car­dial tis­sue ­were per­formed. She sur­vived ­the pro­ce­dure ­with an ­improved qual­ity of ­life, ­but ­expired ­due to recur­rence at 6 ­months post­op­er­a­tive­ly. Albeit uncom­mon, pul­mo­nary ­artery sar­co­ma is now­a­days a ­more fre­quent­ly pre­op­er­a­tive­ly diag­nosed ­and sur­gi­cal­ly treat­ed malig­nan­cy. With a mod­ern ­low per­i­op­er­a­tive mor­tal­ity, aggres­sive sur­gi­cal resec­tion ­remains as ­the sin­gle ­most effec­tive modal­ity ­for ­its treat­ment ­and ­can ­result in ­short ­term pal­li­a­tion in select­ed ­patients.

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