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Ann Thorac Surg 1993;56:564-566
© 1993 The Society of Thoracic Surgeons

Articles

Primary left atrial myxosarcoma

Gary J. Harris, MD*, Fermin O. Tio, MD, Frederick L. Grover, MD

Division of Cardiothoracic Surgery and Department of Pathology, The University of Texas Health Science Center at San Antonio, San Antonio, Texas USA

Accepted for publication November 19, 1992.

* Address correspondence to Dr Harris, Surgical Service (112), Veterans Administration Medical Center, 800 Zorn Ave, Louisville, KY 40206-1499.

A patient in whom rapidly progressive congestive heart failure developed due to the presence of a left atrial myxosarcoma is described. The histologic picture is consistent with the hypothesis that cardiac myxoid tumors are neoplasms derived from undifferentiated cells found in the endocardium. Unfortunately, most cardiac malignancies are detected too late for curative resection, and palliation remains the mainstay of therapy.






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