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A 30-Year-Old Man With Primary Cardiac Angiosarcoma.

Nicholas Jex¹, Jonathan Farley², Sharmaine Thirunavukarasu¹

¹University of Leeds, Multidisciplinary Cardiovascular Research Centre and Biomedical Imaging Science Department, Leeds Institute of Cardiovascular and Metabolic Medicine, Leeds, United Kingdom.

JACC. Case Reports

|July 28, 2021

Summary

A rare primary cardiac angiosarcoma was diagnosed in a young man presenting with chest pain and fever. Multimodality imaging and histopathology confirmed the diagnosis, guiding clinical management.

Keywords:

CMR, cardiovascular magnetic resonance imaging RA, right atrial RCA, right coronary artery RV, right ventricle cardiac angiosarcoma cardiac magnetic resonance echocardiography imaging malignancy positron emission tomography

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Area of Science:

Cardiology
Oncology
Pathology

Background:

Primary cardiac tumors are rare, with angiosarcoma being an aggressive subtype.
Early diagnosis is crucial for effective management of cardiac angiosarcoma.

Observation:

A 30-year-old male presented with palpitations, fever, and pleuritic chest pain.
Symptoms suggested an underlying cardiac or pulmonary pathology.

Findings:

Multimodality imaging, including echocardiography, MRI, and CT, revealed a cardiac mass.
Histopathological examination confirmed the diagnosis of primary cardiac angiosarcoma.

Implications:

This case highlights the importance of considering rare diagnoses in young, otherwise healthy individuals.
Multimodality imaging plays a vital role in the diagnostic process of cardiac tumors.
Timely diagnosis and tailored management are essential for improving outcomes in primary cardiac angiosarcoma.