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Prolonged survival with left atrial spindle cell sarcoma

Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, UK

*Corresponding author. Department of Cardiothoracic Surgery, Southampton University Hospitals NHS Trust, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. Tel.: +44 2380 796234; fax: +44 2380 794526.

E-mail address: Marcus.Haw{at}suht.swest.nhs.uk (M. Haw).

Primary spindle cell sarcoma of the left atrium is a rare tumour. Optimal treatment is to obtain complete surgical clearance of the tumour. The anatomic location of the tumour, infiltration into vital structures and difficult access provides a surgical challenge for resection of the lesion and reconstruction of the defect. The prognosis of patients with a primary cardiac sarcoma is very poor because of their resistance to treatment with chemotherapy and radiotherapy. Metastases and local recurrences are common despite optimal multimodality treatment. This report describes a 48-year-old gentleman who underwent multiple surgeries to achieve an 11-year survival since the diagnosis. The operative techniques have been described.

Key Words: Cardiac tumour; Spindle cell sarcoma; Left atrium; Survival; Outcome