• Interact Cardiovasc Thorac Surg · Nov 2012

    Case Reports

    Large monophasic synovial sarcoma of the mediastinum in a 15-year old boy.

    • Spiros Loggos, Konstandinos Kondrafouris, George Oikonomopoulos, and Fotios Mitropoulos.
    • Department of Paediatric and Congenital Cardiac Surgery, Onassis Heart Centre, Kallithea, Athens, Greece. dr_spylog@yahoo.co.uk
    • Interact Cardiovasc Thorac Surg. 2012 Nov 1;15(5):909-11.

    AbstractWe present the interesting case of a 15-year old boy with a monophasic synovial sarcoma (MSS) of the mediastinum, which was infiltrating the right heart chambers and the inferior vena cava (IVC). A radical excision was performed, with extensive reconstruction of the heart, under deep hypothermic circulatory arrest. Radical surgical excision is considered to be the treatment of choice for these lesions, as chemotherapy and radiotherapy have little effect. Unfortunately, the patient and his parents refused any further consultation with an oncologist and, although there was no recurrence at 12 months following the procedure, at 24 months we were informed of his death due to the tumour appearing on the left cardiac chambers with subsequent multi-organ failure.

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