Primary Cardiac Sarcoma: Angiosarcoma Compressing the Right Coronary Artery.
Mohamad Mubder1, Issa Pour-Ghaz2, Omar Al-Taweel3
1Internal Medicine, Kirk Kerkorian School of Medicine at University of Nevada, Las Vegas, Las Vegas, USA.
Cureus
|June 2, 2023
Summary
Primary cardiac angiosarcoma, a rare malignant heart tumor, can spread and obstruct the right coronary artery. This case highlights the importance of considering cardiac tumors in differential diagnoses for coronary artery issues.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Cardiac tumors are rare, with diverse presentations potentially delaying diagnosis and treatment.
- Primary cardiac tumors can invade adjacent structures, including coronary arteries.
- Coronary artery involvement by cardiac tumors has been infrequently reported.
Observation:
- This case report details a patient diagnosed with primary cardiac angiosarcoma.
- The angiosarcoma had metastasized to distant sites.
- The tumor caused significant occlusion of the right coronary artery.
Findings:
- Primary cardiac angiosarcoma can lead to coronary artery occlusion.
- Metastatic spread is a feature of this aggressive cardiac malignancy.
- The case underscores the potential for cardiac tumors to manifest with coronary artery disease symptoms.
Implications:
- Early diagnosis and treatment of cardiac tumors are crucial to prevent complications like coronary artery obstruction.
- This case expands the understanding of cardiac angiosarcoma's clinical presentation and potential sequelae.
- Clinicians should consider primary cardiac tumors in the differential diagnosis of unexplained coronary artery occlusive disease.
Related Concept Videos
01:21Coronary Circulation
3.1K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
3.1K
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
17
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
17
01:21Cardiac Catheterization II: Right Heart Catheterization
60
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
60
01:29Cardiomyopathy IV: Restrictive Cardiomyopathy
12
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
12
01:25Cardiomyopathy I: Introduction and Classification
24
Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
24
01:30Acute Coronary Syndrome I: Introduction
33
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
33