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[A case of primary cardiac hemangiosarcoma]
Y Shimada1, Y Kosakai, M Nakaya
1Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Insights
A rare primary cardiac tumor, right atrial hemangiosarcoma, presented with cardiac tamponade. Early diagnosis via advanced imaging and surgical resection offered potential for improved survival despite metastasis.
Area of Science:
- Cardiovascular Pathology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Primary cardiac tumors are rare, with hemangiosarcoma being an aggressive malignancy.
- Right atrial hemangiosarcoma presents a diagnostic and therapeutic challenge due to its location and potential for rapid progression.
Observation:
- A 43-year-old female presented with symptoms of cardiac tamponade secondary to massive bloody pericardial effusion.
- Diagnostic imaging, including echocardiography, CT, NMR, and angiography, precisely delineated the tumor's extent and facilitated diagnosis.
Findings:
- Surgical extirpation of the right atrial hemangiosarcoma was performed successfully under cardiopulmonary bypass.
- Despite surgical intervention, the patient developed liver metastasis and died 3 months post-operation.
Implications:
- Massive bloody pericardial effusion is a critical indicator for primary malignant cardiac tumors.
- Timely and accurate diagnosis, coupled with surgical intervention, is crucial for potentially improving patient outcomes and long-term survival.
Abstract:
A case of primary hemangiosarcoma of right atrium was reported. The patient was 43 years old female. She had the symptoms of tamponade due to massive bloody pericardial effusion. Echocardiography, computed tomography, NMR imaging and angiography revealed the precise delineation and extension of tumor, and also allowed diagnosis of hemangiosarcoma. Extirpation of tumor was performed under the cardiopulmonary bypass. The patient was died 3 months later after the operation for liver metastasis. The bloody pericardial effusion seems to be an important symptom of the primary malignant cardiac tumor, and early and precise diagnosis may allow successful operation and long survival of the patients.