PRIMARY CARDIAC LEIOMYOSARCOMA GROWING RAPIDLY AND CAUSING RIGHT-VENTRICULAR OUTFLOW OBSTRUCTION

Leiomyosarcomas are extremely rare primary cardiac tumors. We report a rapidly growing primary leiomyosarcoma of the right ventricle, which obstructed the right ventricular outflow tract within one month after symptom onset in a 68-year-old man. Two-dimensional echocardiography w as useful in diagnosing the extent and progression of the tumor. The t umor was surgically resected on an emergency basis, and the right vent ricle and pulmonary artery were successfully reconstructed. Recurrence of the tumor on the right ventricle was observed, and the patient was overcome by sudden dyspnea and died three months after surgery.