Key result
Emergency cardiac surgery successfully resects a left atrial mass diagnosed as primary synovial sarcoma.
Why the study?
Primary cardiac synovial sarcoma is a very rare cardiac tumor with poor outcomes that can present with brain metastases.
Case Report (n=1)
Primary cardiac synovial sarcoma is a rare tumor that can present with brain metastases and may be incidentally discovered on echocardiography.
Feasibility of emergency resection shown for primary cardiac synovial sarcoma; leaves open optimal adjuvant therapy and long-term outcomes.
Primary cardiac synovial sarcoma is a very rare primary cardiac tumor that usually arises in the right side of the heart. Brain metastases in primary cardiac sarcomas are not uncommon. Because of the wild nature of these tumors, they usually have poor outcomes. This study describes a 29-year-old female who presented with blurred vision, headache, nausea, vomiting and brain lesions in the radiologic study. Incidentally, two-dimensional echocardiography revealed a left atrial lesion. The patient underwent emergency cardiac surgery to resect the left atrial mass that arose from the atrial free wall and pulmonary veins. The diagnosis of the lesion was primary synovial sarcoma in the histopathologic examination.
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Alirezaei et al. (2022) conducted a case report in Primary cardiac synovial sarcoma with brain metastases (n=1). Emergency cardiac surgery was evaluated on Histopathologic diagnosis. Emergency cardiac surgery successfully resected a left atrial mass in a 29-year-old female, which was histopathologically diagnosed as primary synovial sarcoma.
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