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Keywords

left atrial paraganglioma
VATS
cardiopulmonary bypass
reconstruction of the left atrium

How to Cite

Case Report of Surgical Treatment of an Active Left Atrial Paraganglioma. (2025). Voprosy Onkologii, 71(1), OF-2019. https://doi.org/10.37469/0507-3758-2025-71-1-OF-2019

Abstract

Introduction. Paragangliomas are rare neuroendocrine tumors that arise from extra‐adrenal parasympathetic or sympathetic ganglia neural crest cells. Cardiac paragangliomas are exceedingly rare tumors.

Case description. A case report of surgical treatment of an active left atrial paraganglioma is described. A combined approach was used. Left-sided VATS with tumour mobilization combined with right-sided thoracotomy with cardiopulmonary bypass was performed.

Conclusion. Left-sided VATS with tumor mobilization combined with right-sided thoracotomy for removal of the left atrial tumor with its plastic surgery allows, in our opinion, safe isolation of the tumor. Connecting a heart-lung machine from a right-sided thoracotomy is technically straightforward.

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References

WHO Classification of Tumors. Thoracic tumors. WHO classification of tumors editorial board. 5th ed. Vol.5. France, Lyon: IARC. 2021. ISBN-13; 978-92-832-4506-3.

Hayek E.R., Hughes M.M., Speakman E.D., et al. Cardiac paraganglioma presenting with acute myocardial infarction and stroke. Ann Thorac Surg. 2007; 83(5): 1882-1884.-DOI: https://doi.org/10.1016/j.athoracsur.2006.12.023.

Joynt K.E., Moslehi J.J., Baughman K.L. Paragangliomas: etiology, presentation, and management. Cardiol Rev. 2009; 17(4): 159-164.-DOI: https://doi.org/10.1097/CRD.0b013e3181a6de40.

Alakeel F., Al Sannaa G., Ibarra-Cortez S.H., et al. Cardiac paragangliomas: A case series with clinicopathologic features and succinate dehydrogenase B immunostaining. Ann Diagn Pathol. 2020; 45: 151477.-DOI: https://doi.org/10.1016/j.anndiagpath.2020.151477.

Guenthart B.A., Trope W., Keeyapaj W., et al. Intracardiac paragangliomas: surgical approach and perioperative management. Gen Thorac Cardiovasc Surg. 2021; 69(3): 555-559.-DOI: https://doi.org/10.1007/s11748-020-01503-2.

Chan E.Y., Ali A., Umana J.P., et al. Management of primary cardiac paraganglioma. J Thorac Cardiovasc Surg. 2022; 164(1): 158-166.-DOI: https://doi.org/10.1016/j.jtcvs.2020.09.100.

Yamamoto Y., Kodama K., Yamato H., Takeda M. Successful removal of giant intrapericardial paraganglioma via posterolateral thoracotomy. Case Rep Surg. 2014; 2014: 308462.-DOI: https://doi.org/10.1155/2014/308462.

Marthy A.G., Smith N., Samy S., et al. Robotic approach to a subcarinal functional paraganglioma. Respir Med Case Rep. 2020; 30: 101092.-DOI: https://doi.org/10.1016/j.rmcr.2020.101092.

Itagaki K., Notsuda H., Suzuki T., et al. Combined left thoracoscopic and median sternotomy approach to resect aortopulmonary mediastinal paraganglioma following feeding artery embolization: a case report. Surg Case Rep. 2022; 8(1): 176.-DOI: https://doi.org/10.1186/s40792-022-01534-2.

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Copyright (c) 2025 Сергей Николаевич Пивоварчик, Павел Евгеньевич Короткевич, Эльдар Хасанович Саридзе , Олег Васильевич Гуленко, Вадим Владимирович Шумовец , Игорь Евгеньевич Андролойть