Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report
Abstract Background Surgical resection remains the mainstay of treatment for cardiac sarcoma, a rare but lethal disease. Achieving complete removal of a large-sized left ventricular sarcoma remains a challenge even with various surgical approaches that have been employed. Case presentation We presen...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-024-02489-1 |
| _version_ | 1797273353559474176 |
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| author | Jae-Sung Choi Jeongwon Kim Se Jin Oh You Jung Ok Yong Won Seong Hyeon Jong Moon |
| author_facet | Jae-Sung Choi Jeongwon Kim Se Jin Oh You Jung Ok Yong Won Seong Hyeon Jong Moon |
| author_sort | Jae-Sung Choi |
| collection | DOAJ |
| description | Abstract Background Surgical resection remains the mainstay of treatment for cardiac sarcoma, a rare but lethal disease. Achieving complete removal of a large-sized left ventricular sarcoma remains a challenge even with various surgical approaches that have been employed. Case presentation We present a case of a 74-year-old woman with shortness of breath who underwent surgical removal of a primary cardiac sarcoma, measuring 6 × 3.5 × 3 cm, attached to the septum of the left ventricle and caused sub-aortic valve obstruction. Transaortic approach was chosen and the access to this entire huge mass was enabled by using interim partial resection which created a space for further dissection and subsequent deeper endoscopic views. The further dissection was finally able to be advanced on the apex, and the residual mass was completely resected with gross tumor-free margins. Conclusion Interim partial resection and endoscopic guidance can highly facilitate the transaortic removal of even large left ventricular sarcomas. |
| first_indexed | 2024-03-07T14:42:09Z |
| format | Article |
| id | doaj.art-d8bf79933c4e4524aa1d06b70eca99dd |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-07T14:42:09Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-d8bf79933c4e4524aa1d06b70eca99dd2024-03-05T20:19:00ZengBMCJournal of Cardiothoracic Surgery1749-80902024-01-011911510.1186/s13019-024-02489-1Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case reportJae-Sung Choi0Jeongwon Kim1Se Jin Oh2You Jung Ok3Yong Won Seong4Hyeon Jong Moon5Department of Cardiovascular and Thoracic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of MedicineDepartment of Cardiovascular and Thoracic Surgery, Seoul National University HospitalDepartment of Cardiovascular and Thoracic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of MedicineDepartment of Cardiovascular and Thoracic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of MedicineDepartment of Cardiovascular and Thoracic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of MedicineDepartment of Cardiovascular and Thoracic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of MedicineAbstract Background Surgical resection remains the mainstay of treatment for cardiac sarcoma, a rare but lethal disease. Achieving complete removal of a large-sized left ventricular sarcoma remains a challenge even with various surgical approaches that have been employed. Case presentation We present a case of a 74-year-old woman with shortness of breath who underwent surgical removal of a primary cardiac sarcoma, measuring 6 × 3.5 × 3 cm, attached to the septum of the left ventricle and caused sub-aortic valve obstruction. Transaortic approach was chosen and the access to this entire huge mass was enabled by using interim partial resection which created a space for further dissection and subsequent deeper endoscopic views. The further dissection was finally able to be advanced on the apex, and the residual mass was completely resected with gross tumor-free margins. Conclusion Interim partial resection and endoscopic guidance can highly facilitate the transaortic removal of even large left ventricular sarcomas.https://doi.org/10.1186/s13019-024-02489-1Heart neoplasmsSarcomaEndoscopic surgeryCytoreduction Surgical procedures |
| spellingShingle | Jae-Sung Choi Jeongwon Kim Se Jin Oh You Jung Ok Yong Won Seong Hyeon Jong Moon Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report Journal of Cardiothoracic Surgery Heart neoplasms Sarcoma Endoscopic surgery Cytoreduction Surgical procedures |
| title | Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report |
| title_full | Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report |
| title_fullStr | Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report |
| title_full_unstemmed | Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report |
| title_short | Transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance: a case report |
| title_sort | transaortic removal of a large primary sarcoma from the left ventricle assisted by strategic partial resection and endoscopic guidance a case report |
| topic | Heart neoplasms Sarcoma Endoscopic surgery Cytoreduction Surgical procedures |
| url | https://doi.org/10.1186/s13019-024-02489-1 |
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