Recurrent cardiac intimal (Spindle Cell) sarcoma of the left atrium

摘要

PRIMARY CARDIAC TUMORS are roughly 100 to 1,000 times rarer than secondary cardiac neoplasms. About 75% of primary cardiac tumors are benign and 25% malignant. Rarer still is primary spindle cell sarcoma of the heart, with only a handful of cases reported in the literature. Prognosis generally is poor because the role of chemotherapy in this setting remains ill defined, and complete surgical tumor resection often proves to be challenging if not utterly unfeasible because of the tumor's anatomic location. The authors report a unique case of resection of recurrent primary cardiac intimal spindle cell sarcoma.