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Heart Leiomyosarcoma Mimicking Pulmonary Thromboembolism

Department of Cardiovascular Surgery Fuwai Hospital, Peking Union Medical College Beijing, People's Republic of China 1 Department of Cardiac and Thoracic Surgery First Affiliated Hospital, Wenzhou Medical College Wenzhou, Zhejiang Province People's Republic of China
For reprint information contact: Hu Sheng Shou, MD Tel: 86 10 6831 4466 Ext. 8359 Fax: 86 10 6831 3012 email: zhengzhe{at}263.net Department of Cardiovascular Surgery, Fuwai Hospital, Peking Union Medical College, 167 Beilishi Road, Beijing 100037, People's Republic of China.

A 34-year-old man was admitted with a putative diagnosis of pulmonary artery trunk thromboembolism. Magnetic resonance imaging and angiography showed a solid mass extending from the pulmonary trunk to the right pulmonary artery. During surgery, a tumor was found arising from the pulmonary valve annulus. The tumor was completely removed and pulmonary valvuloplasty was performed. The result was satisfactory. Histopathology showed the tumor to be a leiomyosarcoma.