Malignant primary tumor in left atrium with mitral valve invasion, pulmonary veins and cerebral metastasis. A case report

Reynoso-Hermosillo, Miguel; Sandoval-García, Jaime; López-Rosales, Baltazar; Esparza-Villarruel, Antonio; Díaz-Sifuentes, José Ma; García-Martínez, David; Ángeles-Bueno, Wenceslao G.

doi:10.24875/ciru.19000909

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Cirugía y cirujanos

On-line version ISSN 2444-054XPrint version ISSN 0009-7411

Abstract

REYNOSO-HERMOSILLO, Miguel et al. Malignant primary tumor in left atrium with mitral valve invasion, pulmonary veins and cerebral metastasis. A case report. Cir. cir. [online]. 2020, vol.88, n.1, pp.91-94. Epub Nov 22, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19000909.

Introduction:

The incidence of cardiac primary tumors is estimated to be 0.0017-0.28%, of which 25% are malignant, occupying mainly right cavities.

Clinical case:

Patient who present with neurological symptoms due to brain metastasis of primary cardiac tumor in the left atrium, infiltrating the mitral valve and pulmonary veins. Tumor resection was performed with mitral valve replacement and atrial re-modeling with the use of the left appendage.

Conclusions:

Imaging techniques are fundamental for the diagnosis of this pathology, since the majority of cardiac tumors are asymptomatic until late stages.

Keywords : Cardiac primary tumor; Primary intimal sarcoma; Brain metastasis; Surgical management.

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