[Primary cardiac angiosarcoma in the left atrium with adrenal metastasis; report of a case]

Area of Science:

• Cardiology
• Oncology
• Pathology

Background:

• Primary cardiac angiosarcoma is a rare and aggressive malignancy.
• Left atrial angiosarcoma can significantly impact cardiac function, particularly the mitral valve.

Observation:

• A 61-year-old woman presented with a left atrial angiosarcoma involving the mitral valve, causing stenosis and regurgitation.
• Initial surgical resection improved mitral valve function postoperatively.
• Three months later, adrenal metastasis and left atrial recurrence were detected, alongside worsening mitral valve disease.

Findings:

• Cardiac angiosarcoma can metastasize to distant organs, such as the adrenal glands.
• Recurrence of angiosarcoma in the left atrium can lead to progressive mitral valve dysfunction.
• The patient succumbed to heart failure 185 days postoperatively due to disease progression.

Implications:

• Early detection and aggressive management are crucial for primary cardiac angiosarcoma.
• Metastatic spread and recurrence pose significant challenges in managing this condition.
• Multidisciplinary approaches are essential for optimizing patient outcomes in rare cardiac tumors.