Acta Med. 2008, 51: 237-239

Surgical Treatment of a Giant Primary Cardiac Angiosarcoma

Maruf Sanlia, Bulent Tuncozgura, Alper Sevincb, Bahadir Daglarc, Kemal Bakird, Levent Elbeylia

aGaziantep University, School of Medicine, Department of Thoracic Surgery, Gaziantep, Turkey
bGaziantep University, School of Medicine, Gaziantep Oncology Hospital, Department of Medical Oncology, Turkey
cIzzet Baysal University, School of Medicine, Department of Cardivascular Surgery, Bolu, Turkey
dGaziantep University, School of Medicine, Department of Pathology, Gaziantep, Turkey

Received June 1, 2008
Accepted November 1, 2008

Primary cardiac angiosarcoma is a rare tumor, and surgical resection is often required to relieve its symptoms. A 54-year-old male with a large primary cardiac angiosarcoma is described in this case report. The tumor was located in the right atrium and right ventricle. The bulk was resected with the right coronary artery (RCA), and partial right atrium and partial right ventricle resections were performed during cardiopulmonary bypass. The resected tumor measured 15 x 10 x 8 cm, and the histopathological diagnosis was well differentiated primary cardiac angiosarcoma. In the postoperative period, the patient was followed up for 22 months, and radiotherapy and chemotherapy were performed for metastases. The optimal therapy for cardiac angiosarcoma is still controversial, but combined treatment including surgical resection should be considered.


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