Cerebral Liposarcoma Embolus From Heart Metastasis Successfully Treated by Endovascular Extraction Followed by Cardiac Surgery

Vasc Endovascular Surg. 2018 Nov;52(8):653-657. doi: 10.1177/1538574418783527. Epub 2018 Jun 25.

Abstract

The current case presents a patient with a tumor emboli stroke as a presenting symptom of a liposarcoma metastasis to the heart that was treated successfully with endovascular mechanical retrieval, followed by subsequent cardiac surgery. The patient is still alive, under chemotherapy treatment, 3 years following the interventions. This scenario should be considered as a part of the differential diagnosis of oncology patients presenting with new central neurological symptoms. This active approach can be an effective treatment if the patient is fit and there is no evidence of widespread disease.

Keywords: endovascular retrieval; liposarcoma; tumor emboli.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Cardiac Surgical Procedures*
  • Cerebral Angiography / methods
  • Computed Tomography Angiography
  • Echocardiography, Transesophageal
  • Embolectomy / methods*
  • Endovascular Procedures*
  • Heart Neoplasms / complications
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / secondary
  • Heart Neoplasms / surgery*
  • Humans
  • Infarction, Middle Cerebral Artery / diagnostic imaging
  • Infarction, Middle Cerebral Artery / etiology
  • Infarction, Middle Cerebral Artery / surgery*
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / etiology
  • Intracranial Embolism / surgery*
  • Liposarcoma / complications
  • Liposarcoma / diagnostic imaging
  • Liposarcoma / secondary
  • Liposarcoma / surgery*
  • Male
  • Metastasectomy / methods*
  • Neoplastic Cells, Circulating / pathology*
  • Perfusion Imaging / methods
  • Treatment Outcome