Total orthotopic heart transplantation for primary cardiac rhabdomyosarcoma: factors influencing long-term survival Daniel Grandmougin, MD, Georges Fayad,

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Presentation transcript:

Total orthotopic heart transplantation for primary cardiac rhabdomyosarcoma: factors influencing long-term survival Daniel Grandmougin, MD, Georges Fayad, MD, Christophe Decoene, MD, Annie Pol, MD, Henri Warembourg, MD The Annals of Thoracic Surgery Volume 71, Issue 5, Pages 1438-1441 (May 2001) DOI: 10.1016/S0003-4975(01)02480-8 Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest roentgenogram demonstrating a marked enlargement of the right inferior border (arrows). The Annals of Thoracic Surgery 2001 71, 1438-1441DOI: (10.1016/S0003-4975(01)02480-8) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Parasagittal section of the left hemithorax obtained by magnetic resonance imaging (T1-weighted spin echo image). Anteriorly the lesion protrudes into the pericardial space (arrows). The invasion of the right ventricle cannot be excluded. The Annals of Thoracic Surgery 2001 71, 1438-1441DOI: (10.1016/S0003-4975(01)02480-8) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Histologic appearance. Tumoral cells (Tu) diffusely infiltrate the myocardium and extend (arrows) toward the right coronary artery (RCA). (Hematoxylin and eosin, original magnification × 20.) The Annals of Thoracic Surgery 2001 71, 1438-1441DOI: (10.1016/S0003-4975(01)02480-8) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Macroscopic view of the heart showing tumor (Tu) filling the right atrium, surrounding the right coronary artery (black arrows) and extending toward the atrioventricular groove (AGr). Tumoral necrosis areas (white arrows) are obviously seen. The Annals of Thoracic Surgery 2001 71, 1438-1441DOI: (10.1016/S0003-4975(01)02480-8) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions