The authors present the case of a 52-year-old female with metastatic liposarcoma involving the left ventricular wall and the right ventricular septum. The patient had a left thigh liposarcoma removed 18 years earlier. During a follow-up exam two cardiac lesions were identified on a CT scan. The lesions were treated with radiotherapy. After an additional two years had passed, the patient developed angina. Her angiogram showed displacement of the left anterior descending coronary artery and narrowing of the first diagonal. The patient underwent a successful surgical removal of both the metastatic lesions and left ventricular wall reconstruction using a “double-breasted” closure over a CoreMatrix patch. The six-month follow-up exam confirmed freedom from angina and the success of the surgical approach.
Metastatic heart liposarcoma is a rare condition with high mortality, and often surgical treatment is denied. In this video, the authors describe a ventriculoplasty technique using a “double breasted” closure over CoreMatrix patch.
