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. 2022 May;37(5):1445-1449.
doi: 10.1111/jocs.16360. Epub 2022 Mar 7.

Modified autotransplantation technique for surgical resection of complex pericardial synovial sarcoma

Klaudiusz Stoklosa  1 , Nazari Dvirnik  2 , Robert J Cusimano  2
Affiliations

Modified autotransplantation technique for surgical resection of complex pericardial synovial sarcoma

Klaudiusz Stoklosa et al. J Card Surg. 2022 May.

Abstract

Technical details for complex cardiac tumor resection are sparse. We describe the operative technique of modified autotransplantation for resection of a complex pericardial synovial sarcoma in a 63-year-old, Caucasian female. Surgical exposure demonstrated tumor origin at the superior cavoatrial junction and invasion of the aorta, main pulmonary artery, superior pulmonary veins, and left atrial roof. Full macroscopic surgical resection was achieved. The patient received adjuvant radiation for microscopic positive margins and remains alive and with no tumor progression at one year postoperatively. We conclude that modified autotransplantation is a challenging but effective surgical technique when performed with careful patient selection and availability of skilled, cardiothoracic surgeons at a cardiac center of excellence.

Keywords: cardiac tumor; modified autotransplantation; pericardial synovial sarcoma; surgical resection.

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References

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