A few cases of primary liposarcoma of pleura have been reported worldwide. We report a young gentleman who was admitted with what was initially thought as coronavirus disease 2019 (COVID-19)-related pulmonary symptoms. His chest CT showed a large pleural effusion causing a mediastinal shift and compressing vital structures. He did not respond to conservative drainage intervention and subsequently underwent a left thoracotomy for his worsening clinical picture. He was found to have a large left pleural mass that was incompletely resected. Histopathology examination showed low-grade soft tissue sarcoma with lipogenic differentiation suggestive of myxoid liposarcoma. He was subsequently given adjuvant chemotherapy but succumbed and died because of the progression of the disease.
A few cases of coronary artery bypass surgery in patients with dextrocardia and situs inversus have been reported so far worldwide. This is the first reported case from the Gulf region. The operation was performed with the surgeon standing on the left side. Grafts included right internal mammary artery to the left anterior descending artery, and saphenous vein to the diagonal and obtuse marginal arteries. The patient was discharged home after 12 days, with no complication. He was doing well after 3 months of follow-up.
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