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Ann Thorac Surg 2003;75:1969-1971
© 2003 The Society of Thoracic Surgeons

Case report

Right ventricular mass: a histopathological surprise

Kalyan Thippeswamy Anand, MSa, Soman Rema Krishna Manohar, MCha*, Sivadasanpillai Harikrishnan, DMa, Kurur Sankaran Neelakandhan, MCha

a Department of Cardiothoracic and Vascular Surgery, and Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

Accepted for publication November 14, 2002.

* Address reprint requests to Prof Manohar, Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695 011 Kerala, India
e-mail: manohar{at}sctimst.ker.nic.in

A 33-year-old woman in the postpartum period presented with a mass in the right ventricular outflow tract. She underwent excision of the mass under standard cardiopulmonary bypass. Histopathologic examination of the mass revealed a metastatic lesion from the thyroid, which was follicular carcinoma of the thyroid. Later she underwent total thyroidectomy with lymph node dissection of the neck and radioactive 131I ablation for the residual tumor in the neck. At 1-year follow-up, the patient has no evidence of residual lesion in the heart, neck, or anywhere else in the body. A detailed preoperative workup could have changed the order of interventions and probably avoided a heart operation.






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