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Staged surgery for advanced cardiac intimal sarcoma involving the right atrium and the inferior vena cava
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  • Yu-An Chen,
  • Yueh Li,
  • Jen-chieh Lee,
  • JENG-WEI CHEN
Yu-An Chen
National Taiwan University Hospital
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Yueh Li
Far Eastern Memorial Hospital
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Jen-chieh Lee
National Taiwan University Hospital
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JENG-WEI CHEN
National Taiwan University Hospital
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Abstract

Intimal sarcomas simultaneously involving the right atrium and the inferior vena cava are rare. We report an advanced cardiac intimal sarcoma in the right atrium of a 19-year-old man that was complicated by tumor-related inferior vena cava thrombosis. We initially performed partial tumor resection and vena cava thrombectomy to resolve the circulatory obstruction, because complete resection was difficult due to the invading malignancy and an unclear margin. The patient received adjuvant chemo- and radiotherapy along with anticoagulant therapy. After 3 months, the border of the residual sarcoma was clear, and the patient underwent a secondary complete sarcoma excision (including that of the right atrium) and a suprahepatic vena cava reconstruction. At the 2-year follow-up, there was no tumor recurrence. We conclude that aggressive treatment and a staged complete resection can lead to improved outcomes for advanced cardiac intimal sarcoma with poor prognosis.

Peer review status:ACCEPTED

22 Jun 2021Submitted to Journal of Cardiac Surgery
22 Jun 2021Submission Checks Completed
22 Jun 2021Assigned to Editor
24 Jun 2021Reviewer(s) Assigned
01 Jul 2021Review(s) Completed, Editorial Evaluation Pending
01 Jul 2021Editorial Decision: Revise Minor
18 Jul 20211st Revision Received
19 Jul 2021Submission Checks Completed
19 Jul 2021Assigned to Editor
19 Jul 2021Reviewer(s) Assigned
20 Jul 2021Review(s) Completed, Editorial Evaluation Pending
20 Jul 2021Editorial Decision: Accept