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Updated: Aug 6, 2026
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Right atrial mass presenting as cardiac tamponade
International Journal of Cardiology
|August 4, 2006
Summary
A rare case of intracavitary cardiac angiosarcoma presenting as cardiac tamponade in a 32-year-old woman is detailed. This aggressive tumor required emergency surgery due to rapid clinical deterioration.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Intracavitary cardiac tumors, including angiosarcomas, can lead to serious complications like embolization and valve occlusion.
- Intramyocardial tumors may cause heart failure and arrhythmias, while pericardial tumors can lead to cardiac tamponade.
Observation:
- A 32-year-old woman presented with palpitations and shortness of breath, exhibiting pulsus paradoxus and jugular venous distention.
- Transthoracic echocardiography revealed a right atrial mass with normal left ventricular function.
- Emergency surgery was performed due to the patient's deteriorating condition and hemorrhagic pericardial effusion.
Findings:
- Cytological analysis of pericardial fluid was positive for malignant cells.
- Histopathological examination confirmed the diagnosis of angiosarcoma.
Implications:
- This case highlights the rare presentation of intracavitary angiosarcoma causing cardiac tamponade.
- Early diagnosis and surgical intervention are crucial for managing such aggressive cardiac tumors.
- Understanding tumor behavior is vital for improving patient outcomes in cardiac oncology.
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