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Angina pectoris from an unexpected cause

K R Bennett¹, L H Brandon, F T Bennett

¹Jackson Heart Clinic, P.A., MS 39216, USA.

Journal of the Mississippi State Medical Association

|January 7, 1998

Summary

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A rare cardiac angiosarcoma, initially misidentified on a chest film, caused coronary atherosclerosis and angina pectoris in a 53-year-old man. This case highlights the importance of accurate diagnosis for cardiac tumors and their long-term cardiovascular impact.

Area of Science:

Cardiology
Oncology
Radiology

Background:

Coronary atherosclerosis is a leading cause of angina pectoris.
Cardiac tumors are rare and can present with diverse symptoms.
Diagnostic imaging plays a crucial role in identifying cardiac abnormalities.

Observation:

A 53-year-old male presented with classical angina pectoris.
Thirty-two years prior, a chest film showed an abnormality described as a "prominence of the upper portion of the left cardiac border."
This "prominence" was later identified as an angiosarcoma.

Findings:

The angiosarcoma compromised blood flow within the left coronary system.
The tumor's long-standing presence suggests a slow-growing nature or delayed diagnosis.

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The patient's angina was attributed to the tumor-induced coronary compromise.

Implications:

This case underscores the critical need for vigilant interpretation of imaging findings, even subtle ones.
Delayed diagnosis of cardiac angiosarcoma can lead to severe cardiovascular complications.
Accurate and timely diagnosis of cardiac tumors is essential for effective management and improved patient outcomes.