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Total Artificial Heart Implantation After Undifferentiated High-Grade Sarcoma Excision

Jamila Kremer, Mina Farag, Rawa Arif, Andreas Brcic, Anton Sabashnikov, Bastian Schmack, Aron-Frederik Popov, Matthias Karck, Pascal M. Dohmen, Arjang Ruhparwar, Alexander Weymann

Department of Cardiac Surgery, Heart and Marfan Center, University of Heidelberg, Heidelberg, Germany

Med Sci Monit Basic Res 2016; 22:128-131

DOI: 10.12659/MSMBR.901526

Available online: 2016-11-02

Published: 2016-11-02


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