Aortic Root and Pulmonary Artery Reconstruction in a Patient with Pulmonary Artery Intimal Sarcoma

Ryoma Ueda＊	Hideo Kanemitsu＊	Makoto Takehara＊
Kazuhisa Sakamoto＊	Yujiro Ide＊	Kazuhiro Yamazaki＊
Kouji Ueyama＊	Tadashi Ikeda＊	Kenji Minatoya＊

（Department of Cardiovascular Surgery, Kyoto University Hospital＊, Kyoto, Japan）

A 52-year old woman was referred to our hospital because of abdominal pain and restlessness. A chest contrast-enhanced CT showed huge pericardial effusion and intraluminal defects in the main pulmonary artery. We could not make a diagnosis based on the cytology of the pericardial effusion and histopathology of the mass with a sample taken by a catheter. Therefore, we undertook biopsies of the mass by median sternotomy, which led to the diagnosis of pulmonary intimal sarcoma. The tumor resection was performed to release the right ventricular outflow stenosis. We tried to resect the tumor as much as possible, and reconstructed the pulmonary artery and aortic root. She was discharged to home and survived 5 months after surgery.

 

Jpn. J. Cardiovasc. Surg. 50:201-206（2021）

Keywords：pulmonary artery;angiosarcoma;Bentall procedure