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Modified autotransplantation technique for surgical resection of complex pericardial synovial sarcoma
  • Klaudiusz Stoklosa,
  • Nazari Dvirnik,
  • Robert Cusimano
Klaudiusz Stoklosa
University of Toronto Temerty Faculty of Medicine

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Nazari Dvirnik
Toronto General Hospital
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Robert Cusimano
Toronto General Hospital
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Technical details for complex cardiac tumor resection are sparse. We describe the operative technique of modified autotransplantation for resection of a complex pericardial synovial sarcoma in a 63-year-old, Caucasian female. Surgical exposure demonstrated tumor origin at the superior cavoatrial junction and invasion of the aorta, main pulmonary artery, superior pulmonary veins, and left atrial roof. Full macroscopic surgical resection was achieved. The patient received adjuvant radiation for microscopic positive margins and remains alive and with no tumor progression at one year postoperatively. We conclude that modified autotransplantation is a challenging but effective surgical technique when performed with careful patient selection and availability of skilled, cardiothoracic surgeons at a cardiac center of excellence.
31 Dec 2021Submitted to Journal of Cardiac Surgery
31 Dec 2021Submission Checks Completed
31 Dec 2021Assigned to Editor
01 Jan 2022Reviewer(s) Assigned
20 Jan 2022Review(s) Completed, Editorial Evaluation Pending
20 Jan 2022Editorial Decision: Accept
May 2022Published in Journal of Cardiac Surgery volume 37 issue 5 on pages 1445-1449. 10.1111/jocs.16360