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Ann Thorac Surg 2000;69:1949-1951
© 2000 The Society of Thoracic Surgeons

Case reports

Primary right atrial synovial sarcoma manifesting as transient ischemic attacks

Bindu Bittira, MDa, John Tsang, MDa, Thao Huynh, MDa, Jean-François Morin, MDa, Istvan Hüttner, MD, PhDb

a Department of Cardiothoracic Surgery, McGill University Health Centre, Montreal, Quebec, Canada
b Department of Pathology, McGill University Health Centre, Montreal, Quebec, Canada

Address reprint requests to Dr Morin, Department of Cardiothoracic Surgery, McGill University Health Centre, Montreal General Hospital, 1650 Cedar Ave, Room L9513, Montreal, PQ, H3G 1A4 Canada
e-mail: j.f.morin{at}videotran.ca

Primary tumors of the heart are rare and most of them benign. The majority of benign cardiac tumors are myxomas while almost all malignant cardiac tumors are sarcomas. We present a case of primary right atrial synovial sarcoma, a form of sarcoma particularly rare in the heart. The tumor manifested clinically as transient ischemic attacks probably related to a patent foramen ovale allowing paradoxical tumor embolization.






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