Document Detail

Pulmonary artery obstruction due to a metastatic malignant phyllodes tumor of the breast.
MedLine Citation:
PMID:  20703865     Owner:  NLM     Status:  MEDLINE    
A 65-year-old woman with a 9-year surgical history of a left breast phyllodes tumor was admitted with progressive chest pain on effort. Computed tomography showed severe stenosis of the main pulmonary artery, with the mass originating from the ventricular septum. We planned to resect the tumor the next day. However, the next morning a pulmonary artery embolism occurred, and she developed dyspnea and lost consciousness. After carrying out cardiopulmonary resuscitation, we performed a life-saving operation. We successfully resected the huge tumor as far as possible from the right ventricle via a right atrial (RA)-tomy. However, her consciousness did not improve to better than Glasgow Coma Scale grade 7. She died from suffocation caused by metastasis invading her airway despite undergoing tracheotomy on the 77 th postoperative day.
Taro Nakatsu; Takaaki Koshiji; Yutaka Sakakibara; Koji Hagio; Masanosuke Ishigami; Yuichiro Arima; Mitsuhiko Kitaoka
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-12
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  58     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-12     Completed Date:  2010-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  423-6     Citation Subset:  IM    
Department of Cardiovascular Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Kumamoto, 862-0925, Japan.
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MeSH Terms
Arterial Occlusive Diseases / etiology*,  radiography
Asphyxia / etiology
Breast Neoplasms / complications*,  pathology,  surgery
Cardiac Surgical Procedures
Constriction, Pathologic
Fatal Outcome
Heart Neoplasms / complications*,  secondary,  surgery
Phyllodes Tumor / complications*,  secondary,  surgery
Pulmonary Artery* / radiography
Pulmonary Embolism / etiology
Tomography, X-Ray Computed
Treatment Outcome
Unconsciousness / etiology
Ventricular Septum / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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