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Ann Thorac Surg 1998;65:544
© 1998 The Society of Thoracic Surgeons

Case Reports

Preoperative Identification and Operative Management of Intraatrial Extension of Lung Tumors

Martin J. Heslin, MD, Ephraim S. Casper, MD, Patrick Boland, MD, Jeffrey P. Gold, MD, Michael E. Burt , MD, PhD

Department of Surgery, Memorial Sloan-Kettering-Cancer Center, New York, New York, USA
Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

Accepted for publication September 16, 1997.

Dr Heslin, The University of Alabama at Birmingham, 321 Kracke Bldg, 1922 Seventh Ave S, Birmingham, AL 35294-0007.

Preoperative identification of intraatrial tumor is uncommon. A 23-year-old woman presented with local recurrence and pulmonary metastases after previous resection of a clavicular sarcoma. Evaluation by computed tomography revealed bilateral pulmonary masses. Due to the size and proximal location, magnetic resonance imaging and transesophageal echocardiography were performed, revealing a large intraatrial mass. She then underwent staged surgical excision without intraoperative complications. We summarize this case and review risk factors for intracardiac extension and prevention of tumor emboli.




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