Total Artificial Heart Implantation after Excision of Right Ventricular Angiosarcoma.
Primary cardiac sarcomas, although rare, are aggressive and lethal, requiring thorough surgical resection and adjuvant chemotherapy for the best possible outcome. We report the case of a 32-year-old woman who underwent total artificial heart implantation for right-sided heart failure caused by right ventricular angiosarcoma. For the first several weeks in intensive care, the patient recovered uneventfully. However, a postoperative liver biopsy indicated hepatocellular injury consistent with preoperative chemotherapy. She developed continuing liver failure, from which she died despite good cardiac function.
Brian A
BA
Bruckner
Walid K
WK
Abu Saleh
Odeaa
O
Al Jabbari
Jack G
JG
Copeland
Jerry D
JD
Estep
Matthias
M
Loebe
Michael J
MJ
Reardon
D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles; D006354:Heart, Artificial; D006394:Hemangiosarcoma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D012086:Reoperation; D014057:Tomography, X-Ray Computed
Angiosarcoma; antineoplastic agents; heart neoplasms; metastatic sarcoma; right ventricular tumors; total artificial heart