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Ann Thorac Surg 1985;40:402-404
© 1985 The Society of Thoracic Surgeons

Articles

Primary Osteosarcoma of Left Atrium: Complete Surgical Excision

Mehdi A. Marvasti, M.D.*, Edward L. Bove, M.D., Anis I. Obeid, M.D., Michael A. Bowser, M.D., Frederick B. Parker, Jr., M.D.

From the Divisions of Cardiopulmonary Surgery and Cardiology, State University of New York, Upstate Medical Center & Crouse Irving Memorial Hospital, Syracuse, NY.

Accepted for publication February 22, 1985.

* Address reprint requests to Dr. Marvasti, Department of Surgery, State University of New York, 750 E Adams St, Syracuse, NY 13210

A patient with primary osteogenic sarcoma of the left atrium with clinical features of severe congestive heart failure is described. The operative procedure required excision of the posterior atrial wall in continuity with the left pulmonary veins. The resultant defect in the atrium was reconstructed with the left atrial appendage. The left pulmonary artery was ligated, and the lung was removed at a subsequent procedure. The patient survived operation but subsequently was found to have distant metastasis. He died seven months after the operation.




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