Cardiac Angiosarcoma

Chu Chen1,2,3, Songlin Zhang4, Jian Yang2,3,5

  • 1Central Laboratory, The First College of Clinical Medical Science, China Three Gorges University & Yichang Central People's Hospital.

International Heart Journal
|November 30, 2025
PubMed

Insights

Primary cardiac angiosarcoma, an aggressive cancer, presents unique challenges. This case highlights a patient with right atrial angiosarcoma, treated with multimodal therapy, surviving 11 months.

Area of Science:

  • Cardiovascular Pathology
  • Cardiac Oncology
  • Medical Oncology

Background:

  • Angiosarcoma is the most aggressive primary malignant cardiac tumor.
  • It typically involves the right atrium and presents with nonspecific symptoms.
  • High invasiveness and rapid progression characterize this rare malignancy.

Purpose of the Study:

  • To report a case of primary cardiac angiosarcoma.
  • To discuss the diagnostic and therapeutic challenges.
  • To emphasize the need for evidence-based treatment guidelines.

Main Methods:

  • Case presentation of a patient with recurrent hemorrhagic pericardial effusion and cardiac tamponade.
  • Diagnostic imaging revealed a right atrial mass.
  • Surgical resection followed by histopathological confirmation of angiosarcoma.

Main Results:

  • Intraoperative findings confirmed extensive invasion into the pericardium and adjacent structures.
  • The patient underwent partial palliative resection.
  • Post-operative treatment included chemotherapy, immunotherapy, and targeted therapy, achieving 11 months of overall survival.

Conclusions:

  • Primary cardiac angiosarcoma requires a multidisciplinary approach.
  • Current therapeutic strategies present significant challenges.
  • Further research is needed to develop effective treatment guidelines for improved patient outcomes.

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