RT Journal Article SR Electronic T1 Primary malignant fibrous histiocytoma of the left atrium. Surgical and chemotherapeutic management. JF British Heart Journal JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 354 OP 357 DO 10.1136/hrt.52.3.354 VO 52 IS 3 A1 R Eckstein A1 W Gössner A1 R Rienmüller YR 1984 UL http://heart.bmj.com/content/52/3/354.abstract AB A primary malignant fibrous histiocytoma of the left atrium was diagnosed in a 27 year old woman. After surgical excision the tumour recurred together with enlargement of the right hilar lymph nodes. The patient was then treated with nine courses of chemotherapy using a combined drug regimen. During the first course the tumour regressed, and after nine courses almost complete remission was achieved. Subsequently, the residual tumour was removed by resection of the right lung, the right hilar, paratracheal, and paraeosophageal lymph nodes and by cardiotomy with partial resection of the right and left atria and atrial septum followed by a reconstruction of the atrias. To date, more than two years after initial presentation, the patient is alive and well.