Kevin Xiao, Keith B. Allen, MD, A

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Recurrent Primary Cardiac Sarcoma Managed With Radical Cardiac Resection and Pneumonectomy Kevin Xiao, Keith B. Allen, MD, A. Michael Borkon, MD, Sanjeev Aggarwal, MD, J. Russell Davis, MD, Jim Stewart, MD, Alex Pak, MD, R. Scott Stuart, MD The Annals of Thoracic Surgery Volume 100, Issue 2, Pages 728-730 (August 2015) DOI: 10.1016/j.athoracsur.2014.09.087 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography shows large recurrent left atrial mass prolapsing through the mitral valve (X) into the left ventricle. The Annals of Thoracic Surgery 2015 100, 728-730DOI: (10.1016/j.athoracsur.2014.09.087) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The right atrium is reconstructed using a pericardial patch with preservation of the tricuspid valve (TV). The left atrial reconstruction, already completed, is out of view, with only a small portion of the patch visible in the photograph. The Annals of Thoracic Surgery 2015 100, 728-730DOI: (10.1016/j.athoracsur.2014.09.087) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The superior and inferior vena cavae are bridged with a 26-mm Hemashield (Maquet, Wayne, NJ) graft. (A) An eye cautery creates a generous oval in the Hemashield graft (B) to complete the anastomosis (X) to the neoright atrium. The Annals of Thoracic Surgery 2015 100, 728-730DOI: (10.1016/j.athoracsur.2014.09.087) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Intraoperative photograph demonstrates the completed en block resection of the recurrent left atrial sarcoma with reconstruction of the left and right atrium and the pneumonectomy space (P). (B) Discharge chest roentgenogram shows almost complete filling of the pneumonectomy space, without mediastinal shift. The Annals of Thoracic Surgery 2015 100, 728-730DOI: (10.1016/j.athoracsur.2014.09.087) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions