Late recurrence of cardiac sarcoma presenting as giant pulmonary artery aneurysm

Myruski, Kimberly S.; Manecke, Gerard R.; Kotzur, Andreas; Wahrenbrock, Eric A.; Jamieson, Stuart W.

doi:10.1016/j.healun.2003.09.034

« Previous Next »The Journal of Heart and Lung Transplantation
Volume 23, Issue 12 , Pages 1445-1446, December 2004

Late recurrence of cardiac sarcoma presenting as giant pulmonary artery aneurysm

Kimberly S. Myruski, MD
- Departments of Anesthesiology and Surgery, University of California at San Diego Medical Center, San Diego, California, USA
Gerard R. Manecke Jr, MD
- Departments of Anesthesiology and Surgery, University of California at San Diego Medical Center, San Diego, California, USA
- Reprint requests: Gerard R. Manecke Jr., MD, Department of Anesthesiology, Thornton Hospital, 9300 Campus Point Drive, La Jolla, California 92037-7770, USA. Telephone: 858-657-6518.
Andreas Kotzur, MD
- Departments of Anesthesiology and Surgery, University of California at San Diego Medical Center, San Diego, California, USA
Eric A. Wahrenbrock, MD
- Departments of Anesthesiology and Surgery, University of California at San Diego Medical Center, San Diego, California, USA
Stuart W. Jamieson, MB (FRCS)
- Departments of Anesthesiology and Surgery, University of California at San Diego Medical Center, San Diego, California, USA

Received 15 July 2003; received in revised form 29 September 2003; accepted 30 September 2003.

Abstract

We report the case of a 46-year-old woman who had undergone cardiac transplantation for a malignant, right ventricular sarcoma. Five years later, she experienced pulmonary hypertension and a pulmonary artery aneurysm. Medical management of the pulmonary hypertension being unsuccessful, she underwent surgical exploration of the pulmonary artery aneurysm and bilateral pulmonary endarterectomy. Intra-operative findings revealed pulmonary artery sarcoma and an unresectable pulmonary artery aneurysm.