Successful treatment of pulmonary angiosarcoma along with pulmonary endarterectomy and pulmonary valve replacement

doi:10.5606/tgkdc.dergisi.2013.6654

Mehmed Yanartaş, Ramesh S Kutty, Rober E Nadler, David P Jenkins

Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK

DOI : 10.5606/tgkdc.dergisi.2013.6654

Pulmonary endarterectomy (PEA) is an effective treatment of choise for patients with chronic thromboembolic pulmonary hypertension (CTEPH). Symptoms of pulmonary angiosarcoma (PS) can mimic CTEPH, showing similar radiological findings. In this article, we report on a 69-year-old male case with progressive dyspnea and angina. Clinical and radiographic examination revealed pulmonary hypertension with a mass extending to the pulmonary valve, indicating potential PS in the differential diagnosis. A pulmonary valve replacement was performed concurrently with PEA surgery. Histological examination confirmed the diagnosis of PS. The patient was referred into a local oncology service for adjuvant chemotherapy.

Keywords : Angiosarcoma; pulmonary endarterectomy; pulmonary hypertension

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