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J Thorac Cardiovasc Surg 2006;132:435-436
© 2006 The American Association for Thoracic Surgery

Brief Communication

Primary leiomyosarcoma of the pulmonary artery: Is aggressive treatment justified for a long survival?

Kalliopi Athanassiadi, MD a , * , Christina Grothusen, MS b , Michael Mengel, MD c , Axel Haverich, MD a

a Departments of Thoracic and Cardiovascular Surgery, Medical School of Hannover, Hannover, Germany
b Departments of Cardiology and Angiology, Medical School of Hannover, Hannover, Germany
c Department of Pathology, Medical School of Hannover, Hannover, Germany

Received for publication January 14, 2006; accepted for publication February 7, 2006.

* Address for reprints: Kalliopi Athanassiadi, MD, Department of Thoracic and Cardiovascular Surgery, Medical School of Hannover, Carl-Neuberg Str. 1, 30627 Hannover, Germany (Email: kallatha@otenet.gr).

The first 20% of the full text of this article appears below.

Primary malignant tumors of the pulmonary artery (PA) are rare with a dismal prognosis despite diagnostic, operative, and oncologic advances. 1 Go We report 2 cases of primary leiomyosarcoma of PA with a long survival of 7 and 2.5 years including clinical presentation, diagnosis, and surgical treatment.

Material

Case 1
A 61-year-old woman was admitted to our department with suspected chronic pulmonary thromboembolism resulting in a complete occlusion of the right PA. 2 Go The patient had chest pain followed by a progressive limitation of physical fitness and dyspnea (New York Heart Association classes II and III). Computed tomography (CT) scan revealed a hypodense formation with complete occlusion of the right PA. A lung perfusion-scintigraphy confirmed an almost complete loss of perfusion of the right lung, and a cardiac catheterization showed a mild pulmonary hypertension. Preoperative biopsy revealed . . . [Full Text of this Article]






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