In this paper, a case of undifferentiated pleomorphic sarcoma in a patient with right-sided heart failure has been explored. A 61-year-old woman complaining from cough and dyspnea for a week following indistinctive surgery on right buttock area with reported pathology of malignant undifferentiated tumor presented to the hospital. Laboratory results indicated negative TPi enzyme and D.dimer of 4127.81 mg/L. In transthoracic echocardiography, a mass filling the entire right ventricular space was observed. A resection surgery was performed and the pathology was reported as primary cardiac sarcoma.

Background: Takotsubo cardiomyopathy is a temporary left ventricular disorder which mimics the symptoms of an acute coronary incident. However, Cardiac catheterization often indicates normal coronary vessels. Patients are often postmenopausal women or individuals with acute affective disorders and distress. In this paper, a case of Takotsubo cardiomyopathy associated with emotional distress was explored. Case summary: A 46 year old woman presented to the hospital with chest pain and dyspnea. The patient was week, pale and lethargic with a severe pain on the left side of the chest. Laboratory results indicated positive TPi enzyme. In ECG, Q wave in V1-V6 lead and reverse T wave in I, AVL and V1-V6 l leads were evident. Echocardiography findings indicated apical akinesis and EF of 35%. Conclusion: Since Takotsubo in premenopausal women is less prevalent and early diagnosis is difficult, therefore, considering clinical symptoms and patients history at admission are helpful.