Key result
Cardiac sarcoma excision and MV replacement in pregnancy enables delivery before fatal VF at 10 months.
Case Report (n=1)
This case highlights the aggressive nature and poor prognosis of intimal cardiac sarcoma, even following surgical excision and chemotherapy, complicated by pregnancy.
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Feasibility of surgery during pregnancy shown in cardiac sarcoma; leaves open strategies to improve long-term survival.
A 29-year-old female patient in the 28th week of pregnancy was diagnosed with a cardiac tumor. We performed tumor excision and mitral valve replacement, and her baby was born successfully with cesarean section on the 9th day after cardiac surgery. After this event, 8 cycles of chemotherapy were administered. After 10 months, metastatic intimal sarcoma of the right ovary developed, and a right salpingo-oophorectomy and omentectomy was performed. However, the patient died of sudden onset of intractable ventricular fibrillation.
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Son et al. (2007) conducted a case report in Intimal Cardiac Sarcoma (n=1). Tumor excision and mitral valve replacement was evaluated on Clinical course and survival. Tumor excision and mitral valve replacement in a pregnant woman with cardiac sarcoma allowed for successful delivery, but the patient died of ventricular fibrillation after 10 months.
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