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Published on May 8, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2008.177816
© 2008 European Association of Cardio-Thoracic Surgery

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Pulmonary

Primary pulmonary artery sarcoma

Tao Jin 1, Chong Zhang 1, Zhiying Feng 1, Yiming Ni 1*

1 Zhejiang University, Hangzhou, China

* To whom correspondence should be addressed. E-mail: yimingni{at}gmail.com.


   Abstract
Primary pulmonary artery sarcoma is an uncommon tumor. We report a case of a 73-year-old male patient with a two-week history of palpitations and shortness of breath, aggravated for 2 days and was believed to be pulmonary hypertension. Emergency heart ultrasound after admission presented a massive pulmonary embolism in the pulmonary artery. The patient's condition was successfully managed with urgent pulmonary artery embolectomy. The patient demonstrated improvement in hemodynamics after the operation. Histologic and immunohistochemical assays were performed and a diagnosis was made as primary pulmonary artery sarcoma arising from the left pulmonary artery. Resection of the tumor is recommended for the treatment of this rare malignant tumor. The corresponding chemotherapy, follow-up and prognosis are described as well in this case report. Keywords: Pulmonary artery; Sarcoma; Embolism





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