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Ann Thorac Surg 1996;61:1840-1841
© 1996 The Society of Thoracic Surgeons

Case Report

Leiomyosarcoma of the Pulmonary Veins With Extension to the Left Atrium

Alberto S. Gyhra, MD, Claudio K. Santander, MD, Emilio C. Alarcón, MD, Francisco H. Mucientes, MD, Hernán Carrillo, MD

Departments of Surgery, Pathology, and Internal Medicine, Faculty of Medicine, University of Concepción, Concepción, Chile

Accepted for publication December 5, 1995.

A leiomyosarcoma of the right pulmonary vein in a 43-year-old woman extended to the right atrial wall and compromised the posterior mitral leaflet. Successful surgical treatment was accomplished with a right pneumonectomy, partial resection of the left atrial wall, and mitral valve replacement under cardiopulmonary bypass. Six months later a mediastinal recurrence with extension to the left hemithorax was treated with resection and postoperative radiotherapy.




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