Pulmonary Artery Sarcoma—A Challenging Diagnosis: A Case Report

Authors

  • Georgios Dimitrakakis
  • Georgios Zilidis
  • Maurice Buchalter
  • Ulrich Von Oppell

DOI:

https://doi.org/10.1532/HSF98.20061112

Abstract

Pulmonary artery sarcoma is a known but rare tumor with poor prognosis. It is a challenging diagnostic dilemma, as the main complaint of these patients is progressive dyspnea. Dyspnea is a common symptom in cardiorespiratory disease and therefore a high index of suspicion is necessary to make the diagnosis early and proceed with surgery and radiotherapy and/or chemotherapy. We report a case of primary pulmonary artery sarcoma that presented initially with weight loss, shortness of breath, palpitations, and dysphagia.

References

Akomea-Agyin C, Dussek JE, Anderson DR, Hartley RB. 1996. Pulmonary artery sarcoma mimicking pulmonary embolism: successful surgical intervention. Ann Thorac Surg 61:1536-8.nBaker PB, Goodwin RA. 1985. Pulmonary artery sarcomas. A review and report of a case. Arch Pathol Lab Med 109:35-9.nCalderon M, Galvan J, Negri V, Verdin R. 1996. Right ventricular bypass for palliation of cardiac sarcoma. Tex Heart Inst J 23:178-9.nDaimon T, Tajima S, Bando M, Ohno S, Hironaka M, Sugiyama Y. 2006. A case of primary fibrosarcoma of the pulmonary artery. Nihon Kokyuki Gakkai Zasshi 44:319-24.nFarooki ZQ, Chang CH, Jackson WL, et al. 1988. Primary pulmonary artery sarcoma in two children. Pediatr Cardiol 9:243-51.nHead HD, Flam MS, John MJ, Lipnik SS, Slater DL, Stewart RD. 1992. Long-term palliation of pulmonary artery sarcoma by radical excision and adjuvant therapy. Ann Thorac Surg 53:332-4.nHoffmeier A, Semik M, Fallenberg EM, Scheld HH. 2001. Leiomyosar-coma of the pulmonary artery—a diagnostic chameleon. Eur J Cardiothorac Surg 20:1049-51.nHopwood D, McNeill G. 1979. Spindle cell sarcoma of the pulmonary trunk: a case report with histochemistry and electron microscopy. J Pathol 128:70-7.nHuo L, Moran CA, Fuller GN, Gladish G, Suster S. 2006. Pulmonary artery sarcoma: a clinicopathologic and immunohistochemical study of 12 cases. Am J Clin Pathol 12 5:419-24.nKruger I, Borowski A, Horst M, de Vivie ER, Theissen P, Gross-Fengels W. 1990. Symptoms, diagnosis, and therapy of primary sarcomas of the pulmonary artery. Thorac Cardiovasc Surg 38:91-5.nMandelstamm M. 1923. Uber primare Neubildungen des Herzens. Virchows Arch Pathol Anat 245:43-54.nMattoo A, Fedullo PF, Kapelanski D, Ilowite JS. 2002. Pulmonary artery sarcoma: a case report of surgical cure and 5-year follow-up. Chest 122:745-7.nMayer E, Kriegsmann J, Gaumann A, et al. 2001. Surgical treatment of pulmonary artery sarcoma. J Thorac Cardiovasc Surg 121:77-82.nMinakata K, Konishi Y, Matsumoto M, Aota M, Nonaka M, Yamada N. 2000. Primary leiomyosarcoma of the pulmonary artery mimicking massive pulmonary throm boem bolism. Jpn Circ J 64:783-4.nPagni S, Passik CS, Riordan CH, et al. 1999. Sarcoma of the main pulmonary artery: an unusual etiology of recurrent pulmonary emboli. J Cardiovasc Surg (Torino) 40:457-61.nParish JM, Rosenow EC 3rd, Swensen SJ, Crotty TB. 1996. Pulmonary artery sarcoma. Clinical features. Chest 110:1480-8.nShmookler BM, Marsh HB, Roberts WC. 1977. Primary sarcoma of the pulmonary trunk and/or right or left main pulmonary artery—a rare cause of obstruction to right ventricular outflow. Report on two patients and analysis of 35 previously described patients. Am J Med 63:263-72.nTalbot SM, Taub RN, Keohan ML, Edwards N, Galantowicz ME, Schulman LL. 2002. Combined heart and lung transplantation for unresectable primary cardiac sarcoma. J Thorac Cardiovasc Surg 124:1145-8.nTobe S, Nohara H, Yoshida K, Tanimura N, Kurokawa R, Kawata M. 2004. Right ventricular outflow tract reconstruction for primary pulmonary artery sarcoma. Jpn J Thorac Cardiovasc Surg 52:139-42.nTotaro M, Miraldi F, Ghiribelli C, Biscosi C. 2004. Cardiac angiosarcoma arising from pulmonary artery: endovascular treatment. Ann Thorac Surg 78:1468-70.n

Published

2006-11-08

How to Cite

Dimitrakakis, G., Zilidis, G., Buchalter, M., & Von Oppell, U. (2006). Pulmonary Artery Sarcoma—A Challenging Diagnosis: A Case Report. The Heart Surgery Forum, 9(6), E897-E899. https://doi.org/10.1532/HSF98.20061112

Issue

Section

Article