02 November 2016 : Case report
Total Artificial Heart Implantation After Undifferentiated High-Grade Sarcoma Excision
Jamila KremerABCDEFG, Mina FaragABCDEFG, Rawa ArifABCDEFG, Andreas BrcicABCDEFG, Anton SabashnikovABCDEFG, Bastian SchmackABCDEFG, Aron-Frederik PopovABCDEFG, Matthias KarckABCDEFG, Pascal M. DohmenABCDEFG, Arjang RuhparwarABCDEFG, Alexander WeymannABCDEFGDOI: 10.12659/MSMBR.901526
Med Sci Monit Basic Res 2016; 22:128-131
Abstract
BACKGROUND: Total artificial heart (TAH) implantation in patients with aggressive tumor infiltration of the heart can be challenging.
CASE REPORT: We report on a patient with a rare primary undifferentiated high-grade spindle cell sarcoma of the mitral valve and in the left atrium, first diagnosed in 2014. The referring center did a first resection in 2014. In the course of 17 months, computer tomography (CT) scan again showed massive invasion of the mitral valve and left atrium. Partial resection and mitral valve replacement was not an option. We did a subtotal heart excision with total artificial heart implantation. In this report we discuss complications, risk factors, and perioperative management of this patient.
CONCLUSIONS: Patients with aggressive tumors of the heart can be considered for TAH implantation.
Keywords: Adenosarcoma, Heart-Assist Devices, Stroke
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