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Angiosarcoma presenting as syncope
Sushma Nayar1, Pradeep G Nayar, Km Cherian
1Department of Pathology, International Center for Cardio Thoracic and Vascular Diseases (A Unit of Frontier Lifeline), Dr KM Cherian Heart Foundation, R 30 C Ambattur Industrial Estate Road, Mogappair, Chennai 600 101, India. divya_s35@hotmail.com
Asian Cardiovascular & Thoracic Annals
|April 3, 2008
Summary
A rare cardiac angiosarcoma presented as anemia and syncope in a young woman. Despite surgical resection, the aggressive tumor rapidly metastasized, leading to a fatal outcome.
Area of Science:
- Cardiovascular Pathology
- Oncology
- Diagnostic Imaging
Background:
- Cardiac angiosarcomas are rare, aggressive primary heart tumors.
- Early diagnosis is challenging due to nonspecific symptoms.
Observation:
- A 31-year-old female presented with anemia and syncope.
- Echocardiography identified a massive pericardial effusion and right atrial mass.
- Advanced imaging (TEE, CT, MRI) confirmed the mass.
Findings:
- Histopathology revealed a high-grade angiosarcoma.
- Complete surgical resection was performed.
- The patient developed extensive metastasis within three months post-surgery.
Implications:
- This case underscores the aggressive nature and rapid progression of cardiac angiosarcomas.
- Highlights the importance of prompt diagnostic workup for suspected cardiac masses.
- Emphasizes the need for multidisciplinary management in cardiac tumors.
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