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Eur J Cardiothorac Surg 2007;32:388-390. doi:10.1016/j.ejcts.2007.04.019
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Long-term survival of a pulmonary artery sarcoma produced by aggressive surgical resection and adjuvant chemoradiotherapy

Atsushi Nakahiraa,b, Hitoshi Oginoa,*, Hiroaki Sasakia, Nobuyuki Katakamic

a Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
b Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan
c Department of Pulmonary Medicine, Kobe City General Hospital, Hyogo, Japan

Received 21 February 2007; received in revised form 3 April 2007; accepted 5 April 2007.

* Corresponding author. Address: Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1, Fujishirodai, Suita, Osaka 565-8565, Japan. Tel.: +81 6 6833 5012; fax: +81 6 6872 7486. (Email: hogino{at}hsp.ncvc.go.jp).

Malignant pulmonary artery tumors represented by sarcomas are rare, but fatal. Early diagnosis and radical surgical resection offer the only chance for survival. However, surgical intervention has some challenging aspects, and prognosis is poor even after tumor resection. We report a case of a pulmonary artery sarcoma between the right ventricular outflow tract and the pulmonary artery branches. The tumor was aggressively extracted with reconstruction using a cryopreserved pulmonary valved allograft, followed by adjuvant chemoradiotherapy. At 56 months after surgery, the patient is well without any evidence of recurrence, demonstrating that aggressive surgical resection with adjuvant chemoradiotherapy can prolong survival.

Key Words: Pulmonary artery • Tumor • Allograft • Adjuvant therapy






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.