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Right atrial angiosarcoma: a case report.
Adlan Olsun1, Cagri Duzyol, Ali Kemal Gur
1Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey.
The Heart Surgery Forum
|June 30, 2007
Summary
A rare cardiac angiosarcoma caused rapid pericardial effusion and right atrial mass. Palliative surgery improved the patient's condition, highlighting the need for multimodal therapy for cardiac tumors.
Area of Science:
- Cardiovascular Surgery
- Oncology
- Cardiac Pathology
Background:
- A 32-year-old female presented with dyspnea and palpitations.
- Transthoracic echocardiography revealed pericardial effusion, necessitating pericardiocentesis.
Observation:
- Rapid re-accumulation of effusion and a right atrial mass were noted on follow-up.
- Computed tomography confirmed a right atrial defect and advanced pericardial effusion, indicating an emergency operation.
Findings:
- A large right atrial angiosarcoma was identified, causing obstruction and local metastases.
- Palliative surgery involved tumor debulking, excision of obstructive tissues, and right atrial wall reconstruction with a Dacron patch.
- Pathological diagnosis confirmed angiosarcoma.
Implications:
- The patient experienced a favorable outcome post-surgery and chemotherapy, achieving clinical recovery.
- Multimodal treatment, including surgery, radiotherapy, and chemotherapy, is crucial for improving survival and quality of life in cardiac angiosarcoma cases.