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Ann Thorac Surg 1995;59:742-744
© 1995 The Society of Thoracic Surgeons

Articles

Intracardiac extension of an intracaval sarcoma of endometrial origin

MD Michael R. Phillips, MD Thomas C. Bower*, MD Thomas A. Orszulak, MD Lynn C. Hartmann

Division of Vascular Surgery, Section of Cardiovascular Surgery, and Division of Medical Oncology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

Accepted for publication June 30, 1994.

* Address reprint requests to Dr Bower, Mayo Clinic, 200 First St SW, Rochester, MN 55905.

A 52-year-old woman was diagnosed with a cardiac tumor by transesophageal echocardiography and magnetic resonance imaging. An intraoperative biopsy indicated the mass was low-grade endometrial stromal sarcoma. Successful tumor removal from the heart and inferior vena cava was accomplished with the use of hypothermic circulatory arrest. The chronically occluded infrarenal portion of the inferior vena cava was transected. The patient has no evidence of recurrent disease after a follow-up of 18 months and has no significant restriction in her daily activities.




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