Surgical Resection for Isolated Cardiac Metastases

Ravikumar, Thanjavur S.

doi:10.1001/archsurg.1983.01390010087020

Cited by 37 publications

(15 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We have found only 17 reports previous to the present case (Table 1) of metastatic cardiac myxoid liposarcoma [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. The common characteristics of these cases are a prevalence in males, a primary location in the lower extremities and the long interval between the occurrence of the primary tumor and the metastasis, confirming the slow growth of the tumor.…”

Section: Discussionsupporting

confidence: 58%

Liposarcoma Causing Left Ventricular Outflow Tract Obstruction and Syncope: a Case Report and Review of the Literature

Fairman

Mauro

Cianciulli

et al. 2005

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

Metastatic cardiac myxoid liposarcoma is rare. We present the case of a 56-year-old woman who was admitted for angina and syncope, and in whom a mobile intracardiac mass obstructing the left ventricular outflow tract and protruding into the aortic root during systole was detected by transesophageal echocardiography (TEE). She reported an antecedent of the complete excision of a myxoid liposarcoma of the thigh 12 years before. A surgical resection procedure was performed through an excision of the anterior wall of the left ventricle. The histopathological analysis of the specimens obtained during surgery revealed a low-grade malignancy myxoid liposarcoma, similar to the one resected in the thigh 12 years before. The present case is the first one to report syncope due to left ventricular outflow tract as a cause for admission. TEE was able to visualize the metastatic tumor to the heart, accurately localize its position and allow for prompt surgical treatment that produced relief of the symptoms.

show abstract

Section: Discussionsupporting

confidence: 58%

Liposarcoma Causing Left Ventricular Outflow Tract Obstruction and Syncope: a Case Report and Review of the Literature

Fairman

Mauro

Cianciulli

et al. 2005

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

show abstract

“…Moreover, isolated cardiac metastases of soft tissue sarcomas are rare'-4,6,8,9; we found only a few cases, including four myxoid liposar~omas.~~~*~~* Nevertheless, a long interval may separate diagnosis of metastasis from the onset of the primary tumor; in one reported case, this interval was 4 years. 6 The clinical symptoms are not related to the primary or secondary nature of the cardiac tumor. Among the noninvasive techniques available for the diagnosis of these lesions, echocardiography has taken a preponderant r0le.…”

Section: Discussionmentioning

confidence: 99%

Cardiac metastases. Case report on an isolated cardiac metastasis of a myxoid liposarcoma

Lagrange

Despins

Spielman

et al. 1986

Cancer

View full text Add to dashboard Cite

This report describes an isolated case of cardiac metastasis of a myxoid liposarcoma that was successfully resected by surgery after clinical and ultrasound diagnosis. Although cardiac metastases are rarely diagnosed during patients' lifetimes, a search should be made for such lesions whenever cardiac disorders appear suddenly in cancer patients. Echocardiography appears to be one of the best investigative techniques for such purposes. Despite generally poor therapeutic results, surgical resection occasionally permits long periods of survival.

show abstract

“…Metastatic liposarcoma occurs most likely in the lungs, liver, lymph node, brain and skeletal system [6]. Only 20 cases of metastatic cardiac liposarcoma were reported in the literature prior to our report [4,7-9].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of the removal of a giant metastatic cardiac liposarcoma occupying right ventricle and pulmonary artery

Zheng

Wang

et al. 2014

J Cardiothorac Surg

View full text Add to dashboard Cite

A 60 years old chinese male scheduled for a removal of an intracardiac mass occupying majority of right ventricular space, right ventricular outflow tract and pulmonary artery. The giant cardiac mass was later diagnosed pathologically as metastatic liposarcoma. The patient had a history of surgical removal of myxoid liposarcoma from his left thigh many years ago. It is extremely rare for liposarcoma to metastatize to right ventricle and pulmonary artery. The anesthetic management of the surgical procedure to remove this kind of intracardiac mass poses significant challenges to anesthesia providers. Our patient developed refractory hypotension after induction of general anesthesia which necessitated urgent cardiopulmonary bypass. The surgical procedure was successful and the patient recovered from the surgery and was discharged home without significant complication. Accurate preoperative diagnosis and assessment of patient’s functional status, appropriate preoperative volume status, emergency cardiopulmonary bypass readiness, smooth and gentle induction of general anesthesia with less myocardial depressing agent, and closely monitoring patient’s vitals and hemodynamic parameters are imperative in managing this kind of patients.

show abstract

Surgical Resection for Isolated Cardiac Metastases

Cited by 37 publications

References 23 publications

Liposarcoma Causing Left Ventricular Outflow Tract Obstruction and Syncope: a Case Report and Review of the Literature

Liposarcoma Causing Left Ventricular Outflow Tract Obstruction and Syncope: a Case Report and Review of the Literature

Cardiac metastases. Case report on an isolated cardiac metastasis of a myxoid liposarcoma

Anesthetic management of the removal of a giant metastatic cardiac liposarcoma occupying right ventricle and pulmonary artery

Contact Info

Product

Resources

About