Primary Cardiac Angiosarcoma Accompanying Cardiac Tamponade
| Autor: | Masakazu Hori, Teruhiko Imamura, Shinya Kajiura, Shuhei Tanaka, Hiroshi Ueno, Kazuaki Fukahara, Koichiro Kinugawa, Shuji Joho |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous business.industry Cardiogenic shock Hemangiosarcoma General Medicine medicine.disease Malignancy Pericardial effusion Pericardial Effusion Cardiac Tamponade Heart Neoplasms Heart failure Cardiac tamponade cardiovascular system Internal Medicine medicine Humans Medical history Angiosarcoma Heart Atria Radiology business Aged |
| Zdroj: | Internal Medicine. 61:1015-1019 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A de novo cardiac malignant tumor is rare and sometimes challenging to diagnose. We encountered a 67-year-old man without any medical history complaining of dyspnea on effort. On admission, his hemodynamics were deteriorated due to cardiac tamponade, which was improved by percutaneous drainage of 1,200 mL pericardial effusion, showing 11.0 g/dL of hemoglobin. We suspected primary cardiac malignancy following multidisciplinary tests, and a cardiac biopsy via sternotomy demonstrated the definitive diagnosis of primary malignant tumor (angiosarcoma) infiltrating the right atrial myocardium. We initiated weekly paclitaxel therapy. Further studies are warranted to establish the optimal diagnostic and therapeutic strategy for de novo cardiac malignancy. |
| Databáze: | OpenAIRE |
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