INTRODUCTION
Pericardial synovial sarcoma is one of the rarest primary cardiac
tumors, with a median overall survival of 27 months.1Surgical resection is the main factor associated with prolonged
survival.2 Unfortunately operative guidelines have not
been standardized given the rarity, heterogeneity, and anatomical
complexity, including intramyocardial involvement and left-sided tumors.
Autotransplantation has been shown to be a feasible technique for
complex, left-sided cardiac tumor resection.3 While
rarely used for cardiac tumors, partial autotransplantation techniques
offer left atrial access with decreased ischemic
time.4-7 We present the second reported case of
pericardial synovial sarcoma treated with modified autotransplantation
and adjuvant radiation.