The Journal of Bone and Joint Surgery (American). 2008;90:1112-1116.
doi:10.2106/JBJS.G.00788
© 2008 The Journal of Bone and Joint Surgery, Inc.
Isolated Left-Sided Metastatic Sarcoma of the Heart with Limb IschemiaA Case Report
Aditya V. Maheshwari, MD1,
Carlos A. Muro-Cacho, MD1,
Jonathan J. Cohen, MD1,
Martin Keisch, MD1,
Roman B. Klos, MD2 and
H. Thomas Temple, MD1
1 Division of Musculoskeletal Oncology, Departments of Orthopedics (A.V.M. and H.T.T.), Pathology (C.A.M.-C.), Hematology/Oncology (J.J.C.), and Radiation Oncology (M.K.), University of Miami Miller School of Medicine, Cedars Medical Center, Suite 4036 East, 1400 N.W. 12th Avenue, Miami, FL 33136. E-mail address for A.V. Maheshwari: adi_maheshwari@rediffmail.com
2 Department of Cardiothoracic Surgery, Broward General Medical Center, 1600 South Andrews Avenue, Fort Lauderdale, FL 33316
Investigation performed at University of Miami Miller School of Medicine, Miami, Florida
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Introduction
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Soft-tissue sarcomas are rare causes of metastatic tumors of the heart1,2, which often involve the right side of the heart and rarely present as intracavitary lesions1,2. Despite their frequency of occurrence, metastatic cardiac tumors often remain subclinical since symptoms of disseminated disease prevail. An isolated metastatic heart tumor is rare and may present with a spectrum of clinical signs and symptoms1,3-5. We present the case of a patient who had an isolated left-sided metastatic heart tumor along with a coexisting atrial septal defect. The tumor presented as acute thromboembolic limb ischemia three months after neoadjuvant chemotherapy, wide local resection, and brachytherapy for a high-grade undifferentiated pleomorphic sarcoma of the contralateral calf. The husband of our patient was informed that data concerning the case would be submitted for publication, and he consented.
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Case Report
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A twenty-nine-year-old woman was referred to the office for evaluation of an enlarging painful mass in . . . [Full Text of this Article]

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