Primary cardiac angiosarcoma: A case report

Ambrus, Nóra; Havasi, Kálmán; Kalapos, Anita; Sághy, László; Makai, Attila; Bogáts, Gábor; Hegedűs, Zoltán; Iványi, Béla; Besenyi, Zsuzsanna; Pápai, Zsuzsanna; Nagy, László; Forster, Tamás; Nemes, Attila

doi:10.1111/echo.13808

Cited by 12 publications

(14 citation statements)

References 8 publications

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“…Angiosarcoma is the most common histologic subtype in primary cardiac malignant tumor among adults 1,2 , which usually occurs in men aged under 65 years, with a male to female ratio of around 2-3:1 4,6 . The most vulnerable site is in the right atrium, for 74% of primary cardiac angiosarcoma occur in the right atrium and often interfere with adjacent structures 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Primary cardiac angiosarcoma is a rare tumor, but it is the most common histologic subtype in primary cardiac malignant tumor in adults 1,2 . Although advanced technologies have been applied to diagnose heart tumors, such as tumor markers, echocardiography, computer tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography/computer tomography (PET/CT), cardiac tumor are still easily misdiagnosed as other diseases at the onset of disease.…”

Section: Introductionmentioning

confidence: 99%

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Primary Cardiac Angiosarcoma: A Case Report and Review of the Literature

Guo

2020

Preprint

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We reported a 34-year-old man who was diagnosed as primary cardiac angiosarcoma. The diagnosis was delayed until one month after he first entered the hospital. Because cardiac angiosarcoma is easy to be misdiagnosed as pneumonia or other diseases due to its rarity. Although surgical therapy is always considered as a method that can prolong survival time, highly malignant tumors with local infiltration and systemic metastasis lead to poor prognosis. We stressed that primary cardiac malignancy should be noticed when a young patient presented as unexplained pericardial effusion or refractory pneumonia. Early diagnosis can provide more possibilities for treatments.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Primary Cardiac Angiosarcoma: A Case Report and Review of the Literature

Guo

2020

Preprint

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“…Males are two to three times more affected than females, and most patients are young. The main site is in the right atrium (70%-90%) and the tumor can invade the vena cava and tricuspid valve, resulting in congestive heart failure, PE, and cardiac tamponade 10 - 12…”

Section: Discussionmentioning

confidence: 99%

Multiple hepatic metastases of cardiac angiosarcoma

et al. 2018

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The differential diagnosis of hepatic focal lesions is challenging because the etiology can be inflammatory, infectious, and even neoplastic. A rare cause of metastatic liver nodules is cardiac angiosarcoma. We report a case of this tumor, which was diagnosed only after autopsy.A 26-year-old Caucasian man was admitted for progressive dyspnea and cough over the past 3 weeks. Physical examination showed only hypophonetic heart sounds. Laboratory analysis demonstrated anemia and elevated inflammatory markers, despite normal biochemical parameters and liver function. Transthoracic echocardiography revealed massive pericardial effusion. Abdomen computed tomography (CT) showed multiple hepatic nodules, the largest of which measured 3 cm, but the percutaneous biopsy revealed only lobular necrosis and perisinusoidal fibrosis without granulomas or neoplastic cells. During hospitalization, the patient had fever and night sweats with weight loss, and empiric treatment for extrapulmonary tuberculosis associated with corticosteroids was initiated. The outpatient follow-up revealed complete improvement of the pericardial effusion, but maintenance of the liver lesions. After 2 months of hospital discharge, the patient was readmitted with hemorrhagic shock due to bleeding liver lesions, which were evidenced by CT. Embolization of the right hepatic artery was performed, but the patient soon died. The autopsy revealed a primary cardiac angiosarcoma with multiple hepatic metastases, rupture of the Glisson’s capsule and laceration of the liver. The case shows how important and difficult the diagnosis of focal liver lesions is, since it may result in an unexpected fatal outcome.

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“…Angiosarcoma can present with signs of heart failure, constitutional symptoms such as weight loss and systemic embolic events 2 . Echocardiography is crucial for diagnosis of these tumours 2,3 .…”

Section: Introductionmentioning

confidence: 99%

Use of Focused Intensive Care Echo in the diagnosis of Primary Cardiac Angiosarcoma

Medhora¹,

Wilson²,

Ronald³

et al. 2020

Preprint

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Focused Intensive Care Echo (FICE) is recommended in critically unwell patients to assess haemodynamic status. In certain circumstances, FICE can also be used as a diagnostic tool. We present a case where FICE identified a large left atrial mass in an intensive care patient with acute hypoxia and thromboembolic sequelae. Key Clinical Message FICE can aid diagnosis in complex patients where initial investigations are non-diagnostic. FICE is an essential skill for critical care physicians, and bedside echocardiography should be a standard investigation for all critical care patients.

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Primary cardiac angiosarcoma: A case report

Cited by 12 publications

References 8 publications

Primary Cardiac Angiosarcoma: A Case Report and Review of the Literature

Primary Cardiac Angiosarcoma: A Case Report and Review of the Literature

Multiple hepatic metastases of cardiac angiosarcoma

Use of Focused Intensive Care Echo in the diagnosis of Primary Cardiac Angiosarcoma

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