Key result
Radical surgery with serial patch repair of the anterior mitral annulus and left atrial roof was successful, leaving the patient alive and recurrence-free at more than 1.5 years postoperatively.
Case Report (n=1)
Serial patch repair using bovine pericardium is a feasible and potentially durable technique for complex mitral annulus reconstruction following radical resection of a cardiac tumor.
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Offers reconstructive option for rare mitral sarcomas; leaves open durability and reproducibility in larger cohorts.
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.
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Matsuzaki et al. (2022) conducted a case report in Cardiac intimal sarcoma of the mitral valve and left atrial roof (n=1). Radical surgery with serial patch repair of the anterior mitral annulus and left atrial roof was evaluated on Survival without recurrence. Radical surgery with serial patch repair of the anterior mitral annulus and left atrial roof was successful, leaving the patient alive and recurrence-free at more than 1.5 years postoperatively.
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