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Eur J Cardiothorac Surg 1999;16:367-370
© 1999 Elsevier Science NL

Case report

Giant primary cardiac liposarcoma vascularized via the circumflex coronary artery

Department of Thoracic and Cardiovascular Surgery, Georg August Universität, Göttingen, Germany

Corresponding author. Children's Hospital Boston, Cardiac Surgery/Research, 300 Longwood Avenue, Boston, MA 02115, USA. Tel.: +1-617-355-6894; fax: +1-617-355-6742
e-mail: stamm_c{at}hub.tch.harvard.edu

A 51-year-old patient presented with a history of chest pain and progressive dyspnea. CT scan demonstrated a lipomatous mass encircling the heart and compressing the left lung. After median sternotomy, an intrapericardial tumor of 3200 g with a vascular pedicle arising from the circumflex coronary artery was resected. A histologic diagnosis of a well-differentiated liposarcoma was made. The patient is alive and well 2 years postoperatively. This tumor with its unusual vascularization is the largest of the few primary cardiac liposarcomas that have been reported.

Key Words: Cardiac tumors • Soft-tissue tumors • Cardiac malignancies

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