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Ann Thorac Surg 1999;67:1165-1167
© 1999 The Society of Thoracic Surgeons

Case Reports

Operative strategies for resection of pulmonary sarcomas extending into the left atrium

Robert J. Korst, MDa, Todd K. Rosengart, MDb

a Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
b Division of Cardiothoracic Surgery, The New York Hospital-Cornell Medical Center, New York, New York, USA

Accepted for publication September 26, 1998.

Address reprint requests to Dr Korst, Thoracic Service, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021;
e-mail: korstr{at}mskcc.org

Pulmonary sarcomas may extend into the left atrium through the pulmonary veins, requiring the use of cardiopulmonary bypass for resection. The operative strategy for these complicated resections must account for the laterality of the tumor, the extent of atrial involvement, the severity of local invasion within the hemithorax, and intrinsic surgical heart disease, if present. We discuss these issues using an illustrative case of a patient with a right pulmonary sarcoma extending from the lateral chest wall into the left atrium.




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