title: A case of primary intracardiac yolk sac tumour with extracardiac extension.
abstract: Primary cardiac tumour is a rare entity as secondaries in the heart are more common. A 2-year-old child was having repeated respiratory tract infection with poor oral intake and poor activity for 3 months. His symptoms progressed from New York Heart Association (NYHA) Class II to IV. On evaluation he had an intracardiac mass with extracardiac extension. Emergency tumour excision under deep hypothermic circulatory arrest was performed with provisional diagnosis of sarcoma. But Serum markers, histopathological examination and immunohistochemistry confirmed diagnosis of yolk sac tumour. Postoperative recovery was uneventful and the child was receiving adjuvant chemotherapy. Extensive literature review revealed only four cases of primary intracardiac yolk sac tumour published till date. Our case report is unique, in that intracardiac tumour had extracardiac extension by infiltration through right atrial wall. Previous four reports mention purely intracardiac mass.
authors.affiliation: Department of Cardiothoracic Surgery, Lakeshore Hospital and Research Centre, Kochi, India doctormoosa@yahoo.com.
authors.forename: Moosa
authors.initials: M
authors.lastname: Kunhi
authors.affiliation: Department of Cardiothoracic Surgery, Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Sanagar
authors.affiliation: Department of Cardiac Anaesthesia, Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: N
authors.initials: N
authors.lastname: Jagadeesh
authors.affiliation: Department of Oncology,Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Vadanattathil P
authors.initials: VP
authors.lastname: Gangadharan
authors.affiliation: Department of Cardiology, Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Anand
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Department of Pathology, Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Pushpa
authors.initials: P
authors.lastname: Mahadevan