Cardiac Angiosarcoma in the Right Atrium Treated by Surgical Resection

We present the case of a 49-year-old female of Caucasian European descent with chest tightness, fatigue, and palpitations, ultimately diagnosed with primary intracardiac angiosarcoma. Initial echocardiography revealed a significant mass within the right atrium, infiltrating the free wall. Surgical i...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2024-08, Vol.60 (8), p.1321
Main Authors: Dragicevic-Antonic, Milica, Rankovic-Nicic, Ljiljana, Stamenkovic, Gordana, Petrovic, Masa, Loncar, Goran, Markovic, Nikola, Dimitrijevic, Ana, Bulatovic, Sulin, Cirkovic, Milan, Borzanovic, Branislava, Antonic, Zelimir, Pirnat, Maja, Manka, Robert, Bojic, Milovan
Format: Article
Language:English
Subjects:
Angiosarcoma
Anticoagulants
Blood clot
Blood clots
Cancer
cardiac magnetic resonance imaging
Cardiomyopathy
Case Report
Chemotherapy
Clinical outcomes
Dyspnea
Echocardiography - methods
Electrocardiography
Female
Health aspects
Heart Atria - diagnostic imaging
Heart Atria - surgery
Heart failure
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - surgery
Heart surgery
Hemangiosarcoma - diagnostic imaging
Hemangiosarcoma - surgery
Humans
Magnetic Resonance Imaging
Medical prognosis
Metastasis
Middle Aged
multidisciplinary approach
Patients
Takotsubo cardiomyopathy
Thromboembolism
Thrombosis
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Summary:We present the case of a 49-year-old female of Caucasian European descent with chest tightness, fatigue, and palpitations, ultimately diagnosed with primary intracardiac angiosarcoma. Initial echocardiography revealed a significant mass within the right atrium, infiltrating the free wall. Surgical intervention included tumor excision and partial resection of the superior vena cava. Histopathological examination confirmed a high-grade angiosarcoma. Postoperative imaging identified a recurrent mass in the right atrium, suggestive of thrombus, alongside Takotsubo cardiomyopathy. Considering the elevated surgical risks and the presence of cardiomyopathy, management included anticoagulation therapy with Warfarin and adjuvant chemotherapy with Paclitaxel. Follow-up cardiac magnetic resonance imaging demonstrated a recurrent angiosarcoma with superimposed thrombus. This case presents the complex diagnostic and therapeutic landscape of angiosarcoma, highlighting the critical importance of early surgical intervention, advanced imaging techniques, and vigilant postoperative monitoring.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina60081321