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Ann Thorac Surg 1999;67:1793-1795
© 1999 The Society of Thoracic Surgeons

Case Reports

Cardiac autotransplant for surgical treatment of a malignant neoplasm

Michael J. Reardon, MDa, Clement A. DeFelice, MDb, Roy Sheinbaum, MDc, John C. Baldwin, MDa,b,c

a Division of Cardiothoracic Surgery, Department of Surgery, Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA
b Department of Medicine, Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA
c Department of Anesthesiology, Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA

Accepted for publication November 11, 1998.

Address reprint requests to Dr Reardon, 6550 Fannin, Suite 1619, Houston, TX 77030
e-mail: reardonm{at}bcm.tmc.edu

Because of their anatomic location, cardiac sarcomas often interfere with cardiac function. Excision is considered to palliate the cardiac defect, but complete excision is often difficult owing to access, particularly in left atrial tumors. Incomplete resection results in tumor recurrence. To achieve complete resection of a large left atrial sarcoma, we used the technique of cardiac explantation, extracorporeal resection of the tumor with cardiac reconstruction, and cardiac autotransplantation.




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