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IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Pleomorphic Rhabdomyosarcoma Pulmonary Embolism

Dimitrios Buklas, MD, Djamel Kaili, MD, Christian Taberlet, MD1, Anne Cordier, MD1, Sidney Chocron, PhD

Department of Thoracic and Cardiovascular Surgery
1 Department of Anesthesiology, University Hospital, Besançon, France

Dimitrios Buklas, MD, Tel: +33 3 81668630, Fax: +33 3 81668585, Email: buklas{at}free.fr, Thoracic and Cardiovascular Surgery Service, Hospital J. Minjoz, Bd. Fleming, Besançon 25030, France.

A 57-year-old man was operated on under standard cardiopulmonary bypass for recurrent pulmonary embolism diagnosed by computed tomography (Figure 1Go). The right pulmonary artery was occluded completely, and the material was extremely adherent to the vessel wall (Figure 2Go). Histological examination demonstrated a pleomorphic rhabdomyosarcoma.


Figure 1
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  		Figure 1. Contrast-enhanced computed tomography showing a massive pulmonary artery embolism.

 

Figure 2
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  		Figure 2. Transesophageal echocardiography showing complete occlusion of the right pulmonary artery. The material was friable, multilobed in the lumen, but extremely difficult to excise from the vessel wall.

 

Asian Cardiovasc Thorac Ann 2009; 17:435-436
© 2009 by SAGE Publications
DOI: 10.1177/0218492309341434



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