Cardiac angiosarcoma with cardiac tamponade diagnosed as a ruptured aneurysm of the sinus valsalva.

Abstract:

:Primary cardiac angiosarcoma is a rare, diagnostically elusive disease with a poor prognosis. In this report, we describe the case of a 56-year-old woman with a right atrial angiosarcoma. The patient presented with impending cardiac tamponade caused by right atrial perforation, but was misdiagnosed as a ruptured aneurysm of the sinus valsalva based on findings of a continuous murmur and an aorta to right atrium shunt by echocardiography. In the emergent operation that ensued, we found a right atrial perforation and a right coronary artery fistula to the right atrium. Coronary artery fistula is a rare complication of primary cardiac angiosarcoma, and a continuous murmur is also extremely rare as a clinical finding of angiosarcoma. We report the case and review the literature.

journal_name

Jpn J Clin Oncol

authors

Yoshitake I,Hata M,Sezai A,Niino T,Unosawa S,Shimura K,Kasamaki Y,Minami K

doi

10.1093/jjco/hyp044

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

612-5

issue

9

eissn

0368-2811

issn

1465-3621

pii

hyp044

journal_volume

39

pub_type

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