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  • Title: [Primitive leiomyosarcoma of the right atrium presenting with a pulmonary embolism].
    Author: Imbert S, Laffort P, Deville C, Bonnel C, De Mascarel A, Roudaut R.
    Journal: Arch Mal Coeur Vaiss; 2000 Feb; 93(2):199-202. PubMed ID: 10830098.
    Abstract:
    Primary Cardiac leiomyosarcoma is a very rare condition. The authors report the case of a 64 year old woman admitted to hospital for suspected pulmonary embolism, confirmed by thoracic angio-CT scan. Despite thrombolytic therapy, a persistent poor haemodynamic condition associated with a superior vena cava syndrome led to a transoesophageal echocardiographic examination which demonstrated an abnormal intra-right atrial mass obstructing the tricuspid valve. At surgery, a leio-myosarcoma was successfully resected under good conditions. During systematic three-monthly clinical and echocardiographic follow-up, transoesophageal echocardiography detected an asymptomatic local recurrence at 15 months, for which surgery was repeated with adjuvant chemotherapy.
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