Primary cardiac sarcoma in pregnancy: a case report.

Area of Science:

• Cardiology
• Oncology
• Obstetrics

Background:

• Primary cardiac sarcoma is a rare malignancy with a poor prognosis in adults.
• The co-occurrence of cardiac sarcoma and pregnancy is exceptionally rare, posing unique clinical challenges.

Observation:

• A pregnant patient at 27 weeks gestation presented with acute dyspnea due to a left atrial mass.
• Transthoracic echocardiography confirmed the intracardiac mass.

Findings:

• Surgical resection of the cardiac sarcoma and valve repair were performed, followed by chemotherapy.
• The patient delivered a viable infant at 29 weeks gestation.
• Despite treatment, the patient died 10 months post-diagnosis.

Implications:

• Surgical intervention for cardiac tumors in pregnant patients is feasible and can facilitate prolonged gestation.
• While challenging, attempting tumor removal can improve fetal outcomes, despite poor maternal survival rates.