Huge Primary Pleomorphic Leiomyosarcoma in the Right Ventricle With Impending Obstruction of Both Inflow and Outflow Tracts
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概要
- 論文の詳細を見る
Primary cardiac leiomyosarcoma is an extremely rare disease entity that is associated with very poor prognosis. We describe here a 45-year-old man who had a huge pleomorphic leiomyosarcoma in the right ventricle (RV) that presented with signs of acute pressure and volume overload and impending obstruction of both outflow and inflow tracts of the RV. The tumor was attached to the RV apex and the interventricular septum, and extended into the main pulmonary trunk just above the pulmonary valve as well as into the right atrium through the tricuspid valve. We evaluated the extent of the tumor using various imaging modalities including transthoracic and transesophageal echocardiography, magnetic resonance imaging, computed tomography, and positron emission tomography-computed tomography. Although he underwent urgent debulking surgery to relieve the obstruction, the tumor could not be resected completely because of its extensive local invasion. The tumor has shown aggressive regrowth after surgery despite adjuvant chemotherapy.
- 社団法人 日本循環器学会の論文
- 2009-03-20
著者
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Chae Jei
Division of Cardiology, Chonbuk National University Hospital
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KIM Won
Division of Applied Science, Cheongju University
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Choi Jong
Division Of Cardiology Cardiovascular Surgery Chonbuk National University Medical School
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Choi Jong
Division Of Cardiac Electrophysiology Korea University Cardiovascular Center
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Lee Sun
Division Of Physical Metrology Korea Research Institute Of Standards And Science
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Ko Jae
Division of Bioscience and Biotechnology, Bio Molecular Informatics Center, Konkuk University
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LEE Sang
Division of Applied Life Science (BK21), Environmental Biotechnology National Core Research Center a
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Ko Jae
Division Of Cardiology Department Of Internal Medicine Chonbuk National University Medical School
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Ko Jae
Division Of Bioscience And Biotechnology Bio Molecular Informatics Center Konkuk University
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Chae Jei
Division Of Cardiology Department Of Internal Medicine Chonbuk National University Medical School
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Kim Won
Division Of Cardiology Department Of Internal Medicine Chonbuk National University Medical School
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Lee Sun
Division Of Cardiology Department Of Internal Medicine Chonbuk National University Medical School
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RHEE Kyoung
Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School
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Chae Jei
Division Of Cardiology Chonbuk National University Hospital
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Rhee Kyoung
Division Of Cardiology Department Of Internal Medicine Chonbuk National University Medical School
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Lee Sang
Division Of Applied Life Science (bk21) Gyeongsang National University
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Lee Sun
Division Of Applied Life Science Gyeongsang National University
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