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Primary cardiac angiosarcoma with right atrial wall rupture: A case report
Jinah Kim1, Bo Da Nam1, Jung Hwa Hwang1
1Department of Radiology.
Medicine
|April 5, 2019
Summary
This case report details a rare cardiac angiosarcoma with right atrial wall rupture and lung metastasis. Early diagnosis via advanced imaging and palliative chemotherapy showed a positive treatment response.
Area of Science:
- Cardiovascular Pathology
- Oncology
- Radiology
Background:
- Cardiac angiosarcoma, the most common primary heart malignancy, presents with rapid progression and poor prognosis.
- Cardiac wall rupture is an exceptionally rare complication of cardiac angiosarcoma.
Observation:
- A 32-year-old woman presented with acute epigastric pain and chest discomfort.
- Echocardiography, CT, and MRI revealed a right atrial cardiac tumor with rupture and lung metastasis.
- Histopathology confirmed metastatic angiosarcoma via lung biopsy.
Findings:
- The patient received palliative chemotherapy for the primary cardiac tumor and metastatic disease.
- Follow-up imaging demonstrated a positive treatment response for both the primary tumor and lung metastases.
Implications:
- This case highlights the utility of multimodal imaging (echocardiography, CT, MRI, PET/CT) in diagnosing cardiac angiosarcoma.
- Emphasizes the importance of prompt investigation for accurate diagnosis and effective management of rare cardiac tumors.
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