Cardiac angiosarcoma arising in a coronary artery: Angiographic and pathologic findings

We present a case report of a 35 year-old male without any relevant former pathology admitted to the emergency room with atypical chest pain, cough and sputum with ECG changes suggesting pericarditis. He was initially admitted to the cardiology ward and experienced clinical improvement after initiating anti- inflammatory treatment. As intercurrence he had bacterial origin pneumonia complicated by pleural effusion (PE). After discharge patient was referred to a pulmonology appointment where aetiological investigation of the PE was instigated. Investigation revealed changes in the cardiac cavities and multiple lung nodules, suggesting subacute endocarditis with septic pulmonary embolism. Admitted to the pulmonology unit patient underwent videothoracsopy which diagnosed cardiac angiosarcoma with pulmonary metastisation. Within a few days there was a rapid evolution of the clinical picture, with cardiac failure and death of the patient without radiotherapy or adjuvant chemotherapy being started.

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Imaging features of nonmyxomatous primary neoplasms of the heart and pericardium

Smith

Shaffer

Patz

1998

Clinical Imaging

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Cardiac angiosarcoma arising in a coronary artery: Angiographic and pathologic findings

Abstract: We discuss a unique case of an angiosarcoma which arose in an atherosclerotic coronary artery. It was widely metastatic. We describe the angiographic findings and their differential diagnosis, and briefly discuss this relatively common cardiac malignancy.

Cited by 5 publications

References 23 publications

Prinzmetal's angina in a patient with angiosarcoma of the right cardiac chambers

Prinzmetal's angina in a patient with angiosarcoma of the right cardiac chambers

Metastização pulmonar na apresentação de angiossarcoma cardíaco – Caso clínico e discussão

Imaging features of nonmyxomatous primary neoplasms of the heart and pericardium

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