Osteogenic sarcomas mimicking left atrial myxomas: clinical and two-dimensional echocardiographic features

Two patients presenting with acute pulmonary edema were found to have a left atrial cardiac osteogenic sarcoma (primary and secondary). The two-dimensional echocardiographic appearance in both cases mimicked that of atrial myxoma. However, two echocardiographic features (that is, tumor extension into pulmonary veins and origin from nonseptal atrial walls) suggested the presence of a nonmyxomatous cardiac tumor.