Combined surgical approach for sarcoma lung metastasis with atrial involvement.
A 20-year-old patient, who had been treated for a femur sarcoma with pulmonary metastases 8 years before, arrived at our institution with a new metastatic hilar lung nodule. During the standard lobectomy procedure an unexpected atrial invasion by the tumor was discovered. Intraoperative transesophageal echocardiography (TEE) showed a big pediculated tumor in the atrium. Cardiopulmonary bypass (CPB) was required in order to safely resect the atrial wall with the tumor. The atrial defect was repaired with a pericardial patch. Postoperative course was uneventful. After 14 months, the patient is asymptomatic and free of disease.
Torre
W
W
Service of General Thoracic Surgery, University Hospital, University of Navarra, Pamplona, Spain.
Rábago
G
G
Barba
J
J
Sierrasesúmaga
L
L
Baixauli
J
J
Galbis
J
J
D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D005269:Femur; D005500:Follow-Up Studies; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D008297:Male; D012516:Osteosarcoma / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*