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Ann Thorac Surg 2005;80:e8-e9
© 2005 The Society of Thoracic Surgeons

Case report

Left Atrial Extension of a Wilms' Tumor

Gonçalo F. Coutinho, MD, Fátima Heitor, MD, Pedro E. Antunes, MD*, Manuel J. Antunes, MD, PhD

Department of Cardiothoracic Surgery, University Hospital, Coimbra, Portugal

Accepted for publication April 22, 2005.

* Address reprint requests to Dr Antunes, Cirurgia Cardiotorácica, Hospitais da Universidade, Coimbra 3000-275 Portugal (Email: antunes.cct.huc{at}sapo.pt).

Isolated involvement of the left heart chambers by metastases of malignant tumors is extremely rare. We report a case of an 8-year-old child, with a left atrial metastasis of a Wilms' tumor detected in a control nuclear magnetic resonance 1 year after left inferior lobectomy for metastatic extension of the kidney tumor, which was diagnosed 4 years earlier. The metastasis was excised en bloc with a disc of the posterior left atrial wall.






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