Evidence map›Paper›PMID 42287291›Full record

ArticleJACC. Case reports2026

Staged Cesarean and Cardiac Surgery for Recurrent Left Atrial Myxofibrosarcoma in Pregnancy.

Yoshiyuki Watanabe, Shun-Ichiro Sakamoto, Norio Motoda, Motohiro Maeda, Tomohiro Murata, Yosuke Ishii

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yoshiyuki WatanabeDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan. Electronic address: yoshi-w@nms.ac.jp.
Shun-Ichiro SakamotoDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Norio MotodaDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Motohiro MaedaDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Tomohiro MurataDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Yosuke IshiiDepartment of Cardiovascular Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac surgery in late pregnancy requires balancing maternal rescue against fetal risk. CASE SUMMARY: A 31-week pregnant woman with prior resection of a left atrial "myxoma" presented with acute heart failure caused by recurrent masses prolapsing through the mitral valve. Because the fetus was viable and maternal collapse was imminent, a 7-F, 35-mL intra-aortic balloon pump was inserted, cesarean delivery was performed, and redo open-heart surgery followed the next day. A 1,638-g male infant with Apgar scores of 7 and 8 was delivered. Two posterior left atrial tumors were resected; one involved the mitral leaflet and required mechanical mitral valve replacement. Re-review of the recurrent and original specimens showed morphology and immunophenotype consistent with myxofibrosarcoma. DISCUSSION: Staged delivery before cardiopulmonary bypass can protect a viable fetus in hemodynamically critical maternal disease. TAKE-HOME MESSAGE: Pathological re-evaluation is essential when "recurrent myxoma" behaves atypically.

Indexed as

hemodynamicsmitral valvepregnancyvalve replacement

Identifiers

PMID42287291
PMCPMC13464285

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.