Key result
Right atrial-to-pulmonary artery shunt palliates cardiac metastasis from malignant fibrous histiocytoma despite progressive disease.
Why the study?
Management strategies for cardiac metastasis from malignant fibrous histiocytoma are not well established due to the rarity and complexity of the condition.
Case Report (n=1)
Surgical palliation with a right atrial to pulmonary artery shunt was technically successful but did not prevent death from progressive malignant fibrous histiocytoma.
Answers are grounded in this paper and cite their sources.
Technical feasibility of right atrial-pulmonary artery shunt shown in one case; leaves open its palliative role in cardiac metastasis.
The management of a case of malignant fibrous histiocytoma with cardiac metastasis is described in this article. Because of the extent of disease in the right ventricle, surgical resection was impossible. After disease progression on chemotherapy, a right atrial to pulmonary artery shunt was performed. Although the surgical procedure was successful, the patient died from progressive disease. Management of cardiac metastasis is also discussed.
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Zaloznik et al. (1988) conducted a case report in Malignant fibrous histiocytoma with cardiac metastasis (n=1). Right atrial to pulmonary artery shunt was evaluated on Survival / disease progression. A right atrial to pulmonary artery shunt was successfully performed in a patient with cardiac metastasis from malignant fibrous histiocytoma, though the patient ultimately died from progressive disease.
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