Atrial replacement and tricuspid valve reconstruction after angiosarcoma resection.
A cardiac angiosarcoma was resected and successfully managed by replacement of the right atrium and bileaflet reconstruction of the tricuspid valve by conserving non-involved valvular tissue. Competency of the new valve was confirmed intraoperatively by transesophageal echocardiography and reconfirmed at discharge. Evaluation 3 months postoperatively revealed no evidence of valvular insufficiency or right heart failure. In selected patients, resection of extensive primary cardiac neoplasms may be possible without necessitating prosthetic valve replacement.
McFadden
P M
PM
Department of Surgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, Louisiana 70121, USA. dcheatham@ochsner.org
Ochsner
J L
JL
D000328:Adult; D018618:Echocardiography, Doppler, Color; D006325:Heart Atria / Q000601:surgery*; D006338:Heart Neoplasms / Q000601:surgery*; D006394:Hemangiosarcoma / Q000601:surgery*; D006801:Humans; D008297:Male; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery*