Cardiac Angiosarcoma Presenting as Large Pericardial Effusion With Effusive-Constrictive Pericarditis

Sonia Vicenty-Rivera1, Porfirio E Diaz-Rodriguez2, Victor H Molina-Lopez2

  • 1Cardiology Section, Specialty Medicine Department, Bruce W. Carter Department of Veterans Affairs Medical Center, Miami, USA.

Cureus
|June 21, 2024
PubMed

Insights

Pericardial angiosarcoma, a rare cancer of the pericardium, can present as pericardial effusion. This case report details the diagnosis and management of this uncommon tumor.

Area of Science:

  • Cardiovascular Pathology
  • Oncology
  • Rare Tumors

Background:

  • Pericardial angiosarcoma is an exceptionally rare malignant neoplasm.
  • It arises from endothelial cells within the pericardium.
  • Clinical presentation can mimic other conditions causing pericardial effusion.

Observation:

  • A 49-year-old male presented with symptoms suggestive of pericardial effusion.
  • Diagnostic workup led to the identification of pericardial angiosarcoma.

Findings:

  • The case highlights the difficulties in diagnosing pericardial angiosarcoma.
  • It underscores the importance of considering rare malignancies in differential diagnoses.

Implications:

  • This report contributes to understanding the clinical presentation of pericardial angiosarcoma.
  • It may inform future diagnostic and therapeutic strategies for this rare condition.