Cardiac Angiosarcoma: From Cardiac Tamponade to Ischaemic Stroke – A Diagnostic Challenge

Autor: Vanessa Meireles Chaves, Catarina Pereira, Marta Andrade, Pedro von Hafe, Jorge Almeida
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: European Journal of Case Reports in Internal Medicine (2019)
Druh dokumentu: article
ISSN: 2284-2594
DOI: 10.12890/2019_001079
Popis: Cardiac angiosarcoma (CA) is the most common primary malignant heart tumour. Its atypical symptoms and rapidly progressive nature contribute to delayed diagnosis and poor outcome. We report the case of a 52-year-old woman admitted with a large pericardial effusion. An extensive study of the aetiology of the pericardial effusion was inconclusive. Two months later the patient returned with ischaemic stroke. An echocardiogram revealed a probable right atrium contained rupture. The patient was submitted to surgical correction but died 9 days later. Histology revealed an angiosarcoma. This case exemplifies the atypical presentation of CA and highlights the importance of a multimodal diagnostic work-up in patients with idiopathic pericardial effusion.
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