Combined surgical approach for sarcoma lung metastasis with atrial involvement
Torre W., Rábago G., Barba J., Sierrasesúmaga L., Baixauli J., Galbis J.
Service of General Thoracic Surgery, University Hospital, University of Navarra, Pamplona, Spain.
A 20-year-old patient, who had been treated for a femur sarcoma with pulmonary metastases 8 years before, arrived at our institution with a new metastatic hilar lung nodule.
During the standard lobectomy procedure an unexpected atrial invasion by the tumor was discovered. Intraoperative transesophageal echocardiography (TEE) showed a big pediculated tumor in the atrium.
Cardiopulmonary bypass (CPB) was required in order to safely resect the atrial wall with the tumor. The atrial defect was repaired with a pericardial patch. Postoperative course was uneventful. After 14 months, the patient is asymptomatic and free of disease.
CITATION Thorac Cardiovasc Surg. 1999 Apr;47(2):125-7