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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 WeymannABCDEFG

DOI: 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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Medical Science Monitor Basic Research eISSN: 2325-4416
Medical Science Monitor Basic Research eISSN: 2325-4416