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Ann Thorac Surg 1980;29:76-80
© 1980 The Society of Thoracic Surgeons

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Articles

The Surgical Resection and Chemotherapy of Metastatic Osteogenic Sarcoma of the Right Ventricle

Departments of Surgery and Medicine, Allegheny General Hospital, and the University of Pittsburgh School of Medicine, Pittsburgh, PA

Accepted for publication February 20, 1979.

^* Address reprint requests to Dr. Magovern, Department of Surgery, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212

The case report of a patient with metastatic osteogenic sarcoma of the right ventricle who had had an interscapulothoracic amputation in October, 1970, and a left lower lobectomy in June, 1973, for pulmonary metastasis is presented. The patient was hospitalized in October, 1974, with signs and symptoms of right ventricular outflow obstruction and arrhythmia, and cardiac workup established the presence of a right ventricular tumor. The lesion was successfully resected using cardiopulmonary bypass, and the diagnosis of metastatic osteogenic sarcoma was confirmed. The patient did well after the operation and returned to normal activity. She was placed on adjuvant Adriamycin (doxorubicin) chemotherapy, but 6 months later died of Adriamycin toxicity.

We recommend that patients with a history of osteogenic sarcoma who are seen with any cardiac symptoms or electrocardiographic changes, be studied thoroughly since definitive resection can occasionally be offered.

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