Malignant Left Ventricular Outflow Tract Obstruction: A Reason to Operate?

Anna B Grimaldo; Keith McConn; Joseph J Maleszewski; Phillip G Rowse; Jeffrey B Geske

doi:10.1016/j.jaccas.2022.07.035

Malignant Left Ventricular Outflow Tract Obstruction: A Reason to Operate?

JACC Case Rep. 2022 Nov 2;4(21):1414-1417. doi: 10.1016/j.jaccas.2022.07.035.

Authors

Anna B Grimaldo¹, Keith McConn¹, Joseph J Maleszewski², Phillip G Rowse³, Jeffrey B Geske⁴

Affiliations

¹ Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
² Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
³ Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.
⁴ Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Abstract

A 57-year-old man with high-grade synovial sarcoma was found to have cardiac involvement of his malignancy. Intracardiac tumor resulted in dynamic left ventricular outflow tract obstruction and severe mitral regurgitation. He underwent mitral valve replacement and had no cardiovascular symptoms at 1-year follow-up. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance imaging; LVOT, left ventricular outflow tract; TEE, transesophageal echocardiogram; TTE, transthoracic echocardiogram; cardiac metastasis; echocardiography; left ventricular outflow tract obstruction; mitral regurgitation; synovial sarcoma.

Publication types

Case Reports