Radical surgery for a mitral valve intimal sarcoma: serial patch repair of the annulus and atrium

Abstract

We report the rare case of a 48-year-old woman with a cardiac intimal sarcoma occupying the mitral valve and the left atrial roof. We resected the tumour in one block without residual lesions. The anterior mitral annulus and left atrial roof were serially repaired with the bovine pericardium, and a mechanical prosthesis was implanted in the reconstructed mitral annulus. The patient remains alive without recurrence for more than 1 and a half years postoperatively. We performed radical surgery for a mitral valve intimal sarcoma, and serial patch repair of the anterior mitral annulus and left atrial roof was a useful technique.

Cardiac intima sarcoma: a rapid review of case reports

“…Through a backward citation search, 24 additional articles were retrieved, bringing the total to 74 articles included in this study. Figure 1 shows the preferred reporting items for systematic reviews and meta-analyses (PRISMA) flowchart and screening methods, while Table 1 displays the general characteristics of the patient population [18–85] .…”

“…Abid et al [73] 41 M Dyspnea None Alive and disease free Matsuzaki et al [74] 48 F Rapidly progressive heart failure None Alive and disease free Reynoso-Hermosillo et al [75] 34 M Left hemicranial headache and vertigo, and heart failure symptoms NA Alive and disease free Spartalis et al [76] 41 F Exertional dyspnea, orthopnea, and fatigue NA Alive and disease free Chiarelli et al [77] 50 M Nausea, vomiting, and abdominal pain Ileum Alive and disease free Moeri-Schimmel et al [78] 58 F Cerebellar infarction Multiple metastases Died Supel et al [79] 36 F Exertional syncope NA Alive as at data cutoff Liu et al [80] 43 M Facial edema, lower extremity edema, decreased endurance None Alive as at data cutoff Martinho et al [81] 38 M Progressive worsening effort-related breathlessness and fatigue…”