ArticleAnnals of cardiac anaesthesia2026
Rare Right Lung Tumor with Intracardiac Extension: A Case of Successful Multidisciplinary Management.
Article in Annals of cardiac anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
abstractWe present a challenging case of a high-grade spindle cell sarcoma originating in the right lung with intracardiac extension to the left atrium and left ventricle via the pulmonary veins, complicated by aorto-iliac thromboembolism. An 18-year-old male presented with sudden-onset bilateral lower limb weakness, low-grade fever, cough, and breathlessness. Computed tomography imaging revealed a large mediastinal mass with intracardiac extension and an infrarenal aortic thrombus. A multidisciplinary team performed a successful single-stage procedure involving excision of the intracardiac tumor via median sternotomy under cardiopulmonary bypass, right pneumonectomy under total circulatory arrest, and bilateral transfemoral embolectomy. Histopathology confirmed a high-grade spindle cell sarcoma with negative surgical margins. This case highlights the importance of a collaborative team approach, vigilant intraoperative monitoring, and the strategic use of circulatory arrest in managing complex thoracic tumors with intravascular extension.
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