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Thorac Cardiovasc Surg 1999; 47(2): 125-127
DOI: 10.1055/s-2007-1013124
Case Reports

© Georg Thieme Verlag Stuttgart · New York

Combined Surgical Approach for Sarcoma Lung Metastasis with Atrial Involvement

W. Torre1 , C. Rábago, J. Barba2 , L. Sierrasesúmaga3 , J. Baixauli1 , J. Galbis1
  • 1Services of General Thoracic Surgery, University Hospital, University of Navarra, Pamplona, Spain
  • 2Cardiovascular Surgery, University Hospital, University of Navarra, Pamplona, Spain
  • 3Department of Pediatric Oncology, University Hospital, University of Navarra, Pamplona, Spain
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Publication History

1998

Publication Date:
19 March 2008 (online)

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Abstract

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.

Key words

Osteosarcoma surgery - Pulmonary metastases - Bone neoplasm