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Pulmonary artery obstruction due to a metastatic malignant phyllodes tumor of the breast

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Abstract

A 65-year-old woman with a 9-year surgical history of a left breast phyllodes tumor was admitted with progressive chest pain on effort. Computed tomography showed severe stenosis of the main pulmonary artery, with the mass originating from the ventricular septum. We planned to resect the tumor the next day. However, the next morning a pulmonary artery embolism occurred, and she developed dyspnea and lost consciousness. After carrying out cardiopulmonary resuscitation, we performed a life-saving operation. We successfully resected the huge tumor as far as possible from the right ventricle via a right atrial (RA)-tomy. However, her consciousness did not improve to better than Glasgow Coma Scale grade 7. She died from suffocation caused by metastasis invading her airway despite undergoing tracheotomy on the 77th postoperative day.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Kumamoto, 862-0925, Japan

    Taro Nakatsu, Yutaka Sakakibara, Koji Hagio & Masanosuke Ishigami

  2. Second Department of Surgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan

    Takaaki Koshiji

  3. Department of Physiological Chemistry and Metabolism, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

    Yuichiro Arima

  4. Division of Pathology, Kumamoto Chuo Hospital, Kumamoto, Japan

    Mitsuhiko Kitaoka

Authors
  1. Taro Nakatsu
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  2. Takaaki Koshiji
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  3. Yutaka Sakakibara
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  4. Koji Hagio
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  5. Masanosuke Ishigami
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  6. Yuichiro Arima
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  7. Mitsuhiko Kitaoka
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Corresponding author

Correspondence to Taro Nakatsu.

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Nakatsu, T., Koshiji, T., Sakakibara, Y. et al. Pulmonary artery obstruction due to a metastatic malignant phyllodes tumor of the breast. Gen Thorac Cardiovasc Surg 58, 423–426 (2010). https://doi.org/10.1007/s11748-009-0556-4

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  • DOI: https://doi.org/10.1007/s11748-009-0556-4

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