[Primary cardiac tumor with singular findings on cardiac radionuclide scintigraphy]

We encountered a primary cardiac tumor originated from the right atrium or pericardium with singular findings on cardiac radionuclide scintigraphy. The patient was 43-year-old female who showed asymptomatic cardiomegaly and abnormal cardiac silhouette by chest X-ray. First pass radionuclide angiography using Tc-99m pertechnetate revealed the abnormal stain filled from the stem of ascending aorta inner and outer portion of the right atrium. Selective angiography showed that the main feeding artery of the tumor was right coronary artery and right internal mammary artery. The pathological diagnosis of the surgically resected specimen was angiosarcoma. It was suggested that detail evaluation of first pass radionuclide angiography give us a useful clinical information linked the feeding artery of cardiac tumor in this case.