title: Successful surgical excision of primary right atrial angiosarcoma.
abstract: Primary cardiac angiosarcoma is a rare and aggressive tumor with a high incidence of metastatic spread (up to 89%) at the time of diagnosis, which restricts the indication for surgical resection to a small number of patients. We report the case of a 50-year old Caucasian woman with non-metastatic primary right atrial angiosarcoma, who underwent successful surgical excision of the tumor (with curative intent) and reconstruction of the right atrium with a porcine pericardial patch. However, after a symptom-free survival of five months the patient presented with bone and liver metastases without evidence of local tumor recurrence.
authors.affiliation: Department of Cardiothoracic Surgery, University Medical Center Groningen, The Netherlands. w.bouma@thorax.umcg.nl
authors.forename: Wobbe
authors.initials: W
authors.lastname: Bouma
authors.forename: Chris P H
authors.initials: CP
authors.lastname: Lexis
authors.forename: Tineke P
authors.initials: TP
authors.lastname: Willems
authors.forename: Albert  J H
authors.initials: A
authors.lastname: Suurmeijer
authors.forename: Iwan  C C
authors.initials: I
authors.lastname: van der Horst
authors.forename: Tjark
authors.initials: T
authors.lastname: Ebels
authors.forename: Massimo A
authors.initials: MA
authors.lastname: Mariani
mesh_terms: D001859:Bone Neoplasms / Q000556:secondary; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006394:Hemangiosarcoma / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008875:Middle Aged; D019651:Plastic Surgery Procedures