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Improved outcome with multimodality therapy in primary cardiac angiosarcoma
Courtney Pigott1, Michael Welker, Pam Khosla
1Rush Medical College, Rush University Medical Center, Chicago, IL 60612, USA.
Background:
A 37-year-old man presented with a history of hemoptysis and associated fever, chills, night sweats, and weight loss. The patient had no other pertinent past medical history.
Investigations:
Physical examination, CT scan, transesophageal echocardiogram, electrocardiogram, MRI scan, and immunohistochemical staining of tumor biopsy.
Diagnosis:
Primary cardiac angiosarcoma of the right atrium with systemic metastases to the pericardium, superior vena cava, and lungs.
Management:
Neoadjuvant and adjuvant chemotherapy with doxorubicin and complete surgical resection of the tumor with reconstruction of the right atrium using bovine pericardium.
