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http://dx.doi.org/10.5090/kjtcs.2017.50.6.463

Recurrent Mediastinal Sarcoma in the Aortic Arch  

Pyo, Won Kyung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Kim, Ho Jin (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Kim, Joon Bum (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Journal of Chest Surgery / v.50, no.6, 2017 , pp. 463-466 More about this Journal
Abstract
As mediastinal sarcomas commonly present as large tumors invading adjacent vital structures, complete resection is frequently challenging. For such tumors, aggressive surgical strategies, such as the resection and reconstruction of the invaded vital structures under cardiopulmonary bypass, may be required to achieve complete resection and to improve survival. Herein, we report a case of recurrent mediastinal sarcoma invading the aortic arch and arch vessels that was successfully removed by total arch replacement.
Keywords
Mediastinal neoplasms; Recurrence; Aortic arch; Resection; Reconstruction;
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1 Grimer R, Judson I, Peake D, Seddon B. Guidelines for the management of soft tissue sarcomas. Viganello-Lugano (Switzerland): European Society of Medical Oncology, National Comprehensive Cancer Network; 2010.
2 Sanfilippo R, Miceli R, Grosso F, et al. Myxofibrosarcoma: prognostic factors and survival in a series of patients treated at a single institution. Ann Surg Oncol 2011;18:720-5.   DOI
3 Burt M, Ihde JK, Hajdu SI, et al. Primary sarcomas of the mediastinum: results of therapy. J Thorac Cardiovasc Surg 1998;115:671-80.   DOI
4 Fuster V, Ryden LE, Cannom DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation. New York (NY): Elsevier Biomedical; 2006.
5 Huang HY, Lal P, Qin J, Brennan MF, Antonescu CR. Lowgrade myxofibrosarcoma: a clinicopathologic analysis of 49 cases treated at a single institution with simultaneous assessment of the efficacy of 3-tier and 4-tier grading systems. Hum Pathol 2004;35:612-21.   DOI
6 Luo DX, Huang MJ, Xiong B, et al. Primary mediastinal sarcoma: surgical outcomes of 21 cases. Interact Cardiovasc Thorac Surg 2013;17:982-6.   DOI
7 Mentzel T, Calonje E, Wadden C, et al. Myxofibrosarcoma: clinicopathologic analysis of 75 cases with emphasis on the low-grade variant. Am J Surg Pathol 1996;20:391-405.