[Angiosarcoma mimicking recurrent pulmonary embolism].

Abstract:

INTRODUCTION:Pulmonary artery sarcoma is a rare disease with non-specific symptoms. The clinical and radiological presentation can mimic pulmonary embolism with chronic thromboembolic pulmonary hypertension. Management is essentially surgical but the prognosis remains poor. CASE REPORT:A patient presented with symptoms of pulmonary embolism. Despite vitamin K antagonist therapy, he suffered from extension of the endovascular defects and his pulmonary hypertension increased. Suspicious results of positron emission tomography suggested the diagnosis of pulmonary artery sarcoma that was confirmed by surgery. However, the outcome was unfavourable, leading to death of the patient. CONCLUSION:This case reinforces the idea that the clinical and tomodensitometric presentations of pulmonary arterial sarcoma and chronic thromboembolic pulmonary hypertension are similar. The positron emission tomography seems to be a key to distinguishing these two diagnoses.

journal_name

Rev Mal Respir

authors

Goyard C,Sanchez O,Mourin G,Mussot S,Boudjemaa A,de Montpreville V,Meyer G,Ferre A

doi

10.1016/j.rmr.2015.07.001

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

377-82

issue

5

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(15)00292-2

journal_volume

33

pub_type

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