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European Journal of Cardio-Thoracic Surgery, Vol 7, 387-389, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Recurrent malignant fibrous histiocytoma of the left atrium in a 27- year-old male

A Wahba, A Liebold and DE Birnbaum
Department of Cardiac, Thoracic and Vascular Surgery, University Hospital, University of Regensburg, Germany.

We report a case of recurrent malignant fibrous histiocytoma (MFH) of the left atrium. The primary lesion was surgically removed after it had been diagnosed to be the cause of fulminant pulmonary edema in a 27- year-old male. The tumor recurred 15 weeks following surgery. It was excised completely, leaving a large left atrial defect that was reconstructed using a Dacron patch. Malignant fibrous histiocytoma constitutes 2% of all cardiac malignancies. The typical location is the left atrium. Surgical excision is the primary aim in treating this tumor. Adjuvant radiotherapy and chemotherapy have been suggested in the literature. The prognosis is poor.