[Surgical treatment of leiomyosarcoma of the left atrium Report of a case and review of the literature].
The authors report a case of left atrial leiomyosarcoma presenting with systemic disturbances and retinal emboli diagnosed by echocardiography and surgery in a 59 year old woman. Surgical ablation was completed by a course of chemotherapy. Histopathological examination confirmed the diagnosis of sarcoma; although the patient remained generally well, severe mitral regurgitation appeared 21 months after surgery. Transoesophageal echocardiography revealed an abnormal, hyper-mobile, intra-atrial echo suggesting a ruptured chordae tendinae and the mitral valves appeared very thickened and retracted. The patient was reoperated and the mitral valve replaced with a bioprosthesis. After a total follow-up of 29 months, the patients is still alive and asymptomatic. The authors underline the importance of echocardiography in the diagnosis of intra-cardiac tumours in general and, in particular, of intra-cardiac sarcomas.
Boey
S
S
Service de cardiologie, Clinique du Parc, Croix.
Tribouilloy
C
C
Lesbre
J P
JP
Stankowiak
C
C
Copin
M C
MC
Haffreingue
E
E
Espriet
G
G
D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D008943:Mitral Valve; D009364:Neoplasm Recurrence, Local; D012086:Reoperation; D015356:Retinal Artery Occlusion / Q000209:etiology
Léiomyosarcome de l'oreillette gauche opéré. Rapport d'un cas et revue de la littérature.