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European Journal of Cardio-Thoracic Surgery, Vol 5, 603-607, Copyright © 1991 by European Association for Cardio-thoracic Surgery

ARTICLES

Resection of central primary pulmonary artery sarcoma

S Iversen, U Hake, W Schmiedt, H Jakob, U Ramp, H Gabbert and H Oelert
Department of Cardiothoracic and Vascular Surgery, University Clinic of Mainz, FRG.

Primary sarcomas of the pulmonary arteries are rare, and the diagnosis is in the majority of the reported cases established postmortem. Surgical resection of these centrally located tumors has been performed either by pneumonectomy and/or local tumor resection. We report on two patients with sarcomas of the central pulmonary arteries who underwent successful resection of the tumor and prosthetic replacement of the arteries under cardiopulmonary bypass. One patient required additional thromboendarterectomy of the right pulmonary artery branches because of secondary thrombus formation. As primary pulmonary artery sarcomas are refractory to both chemotherapy and radiation, surgical resection remains the only means of treatment. The prognosis depends entirely upon resectability, which, if necessary, should be performed with the aid of cardiopulmonary bypass. In this way, lung resection may be avoided.

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