Mustafa SAÇAR, Gökhan ÖNEM, Bahar BALTALARLI, Fahri ADAL, Ahmet BALTALARL

Ciddi Pulmoner Arter Darl¤na Neden Olan Pulmoner Anjiosarkomun Cerrahi Tedavisi

Pulmoner arter sarkomlar nadir görülür ve benzer klinik tabloya sahip olmalarndan dolay sklkla pulmoner tromboembolik hastalk tans konulur. Tedavi stratejisini belirlemek açsndan do¤ru tannn konmas çok önemlidir. Bu nedenle bu hastalar do¤ru teflhifl konulmas için yakn takip edilmelidir. Ancak olgularn ço¤una cerrahi veya otopsi esnasnda teflhis konulabilmektedir. Bu olgu sunumunda ana pulmoner arter ve pulmoner kapakta ciddi darl¤a neden olan pumoner anjiosarkomlu birhastann teflhis ve cerrahi tedavisini de¤erlendirdik.

Anahtar Kelimeler:

Pulmoner arter sarkomu, kardiyopumoner baypas, pulmoner emboli

Surgical Treatment Of Pulmonary Artery Angiosarcoma Causing Severe Obstruction Of The Pulmonary Artery

Pulmonary artery sarcomas are rarely seen and frequently misdiagnosed as pulmonary thromboembolic disease due to the presence of similar clinical manifestations and radiologic findings. As making the certain diagnosis is very important in order to determine the treatment strategy, one needs close follow-up to make a definite diagnosis. However, most of the cases are diagnosed during the surgery or autopsy. We report the surgical outcome of a patient with pulmonary artery angiosarcoma causing severe obstruction of the pulmonary valve and main pulmonary artery.

Keywords:

Pulmonary artery sarcoma, cardiopulmonary bypass, pulmonary thromboembolism,

PDF

___

Kanjanauthai S, Kanluen T,Ray C. Pulmonary artery sar- coma masquerading as saddle pulmonary embolism. Heart, Lung and Circulation (2007), doi:10.1016/j.hlc.2007.08.003. 22.. Mayer E, Kriegsmann J, Gaumann A, Kauczor HU, Dahm M, Hake U, TSchmid FX, Oelert H. Surgical treat- ment of pulmonary artery sarcoma. J Thorac Cardiovasc Surg 2001;121:77-82.
Huo L, Lai S, Gladish G, Czerniak BA, Moran CA. Pul- monary artery angiosarcoma: a clinicopathologic and ra- diological correlation. Annals of Diagnostic Pathology. 2005;9:209–214.
Lyerly HK, Reves JG. Sabiston DC Jr. Management of primary sarcomas of the pulmonary artery and reperfusi- on intrabronchial hemorrhage. Surg Gynecol Obstet 1986;163:291 55.. Burke AP, Virmani R. Sarcomas of the great vessels. A clinicopathologic study. Cancer 1993;71:1761-1773.
Tschirch FT, Del Grande F, Marincek B, et al. Angiosar- coma of the pulmonary trunk mimicking pulmonary thromboembolic disease. A case report. Acta Radiol 2003;44:504-507.
Delaney SG, Doyle TCA, Burton RW, et al. Pulmonary artery sarcoma mimicking pulmonary embolism. Chest 1993;103:1631–1633.
Hsing JM, Thakkar SG, Borden EC, Budd GT. Intimal pulmonary artery sarcoma presenting as dyspnea: case report. International Seminars in Surgical Oncology 2007;4:14-17. 99.. Maruo A, Okita Y, Okada K, Yamashita T, Tobe S, Ta- nimura N. Surgical Experience for the Pulmonary Artery Sarcoma. Ann Thorac Surg 2006;82:2014–2016.
Kofluyolu Kalp Dergisi Mustafa Saçar MD

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi