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Ann Thorac Surg 2005;79:351-353
© 2005 The Society of Thoracic Surgeons

Case report

Malignant Fibrous Histiocytoma of the Heart Complicated By Factor XI Deficiency in a Jehovah's Witness Patient

Toru Uezu, MDa,*, Yukio Kuniyoshi, MD, PhDa, Kazufumi Miyagi, MDa, Katsuya Arakaki, MDa, Satoshi Yamashiro, MD, PhDa, Katsuhito Mabuni, MDa, Kageharu Koja, MD, PhDa

a Second Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan

Accepted for publication August 13, 2003.

* Address reprint requests to Dr Uezu, Second Department of Surgery, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa 903-0215, Japan
tuezu{at}med.u-ryukyu.ac.jp

We describe a 16-year-old girl with malignant fibrous histiocytoma (MFH) of the heart complicated by factor XI deficiency. The preoperative diagnosis was left atrial myxoma. We decided to perform the operation owing to a normal bleeding time. Operative findings suggested a malignant tumor. The patient was a Jehovah's Witness, and extensive excision was not performed because blood transfusion was not allowed. We resected as much of the tumor and left atrial appendage as possible. The pathologic diagnosis was MFH. Excessive bleeding was not observed during the operation. Bleeding time helps to determine whether a surgical procedure is indicated in patients with factor XI deficiency.






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