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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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| Published in: | Medicina (Kaunas, Lithuania) Lithuania), 2024-08, Vol.60 (8), p.1321 |
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| creator | 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 |
| description | 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. |
| doi_str_mv | 10.3390/medicina60081321 |
| format | article |
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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.</description><identifier>ISSN: 1648-9144</identifier><identifier>ISSN: 1010-660X</identifier><identifier>EISSN: 1648-9144</identifier><identifier>DOI: 10.3390/medicina60081321</identifier><identifier>PMID: 39202602</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>Medicina (Kaunas, Lithuania), 2024-08, Vol.60 (8), p.1321</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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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.</description><subject>Angiosarcoma</subject><subject>Anticoagulants</subject><subject>Blood clot</subject><subject>Blood clots</subject><subject>Cancer</subject><subject>cardiac magnetic resonance imaging</subject><subject>Cardiomyopathy</subject><subject>Case Report</subject><subject>Chemotherapy</subject><subject>Clinical outcomes</subject><subject>Dyspnea</subject><subject>Echocardiography - methods</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Health aspects</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - surgery</subject><subject>Heart failure</subject><subject>Heart Neoplasms - diagnostic imaging</subject><subject>Heart Neoplasms - surgery</subject><subject>Heart surgery</subject><subject>Hemangiosarcoma - diagnostic imaging</subject><subject>Hemangiosarcoma - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>multidisciplinary approach</subject><subject>Patients</subject><subject>Takotsubo cardiomyopathy</subject><subject>Thromboembolism</subject><subject>Thrombosis</subject><issn>1648-9144</issn><issn>1010-660X</issn><issn>1648-9144</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptks9rFDEUxwdRbG29e5IBL1625tfMJCdZFquFgtAf5_CSeZnNMpPUTEbof2_WttoVySHh5ZPP4_tIVb2j5IxzRT5N2HvrA7SESMoZfVEd01bIlaJCvHx2PqrezPOOEM6ajr2ujrhihLWEHVfnG0i9B1uvw-DjDMnGCWof6rzF-soP21yvc_LLVN8khIx9be7r6yUN3sJYX-GMNvsYTqtXDsYZ3z7uJ9Xt-ZebzbfV5fevF5v15aoXhOQVc9Jw2SNTokGplHWuN7whihhGUXDuqLOmIKrt0HXGAKeENVRSKY0Ugp9UFw_ePsJO3yU_QbrXEbz-XYhp0JCytyPqogUkVDVGmNINgfPOdSgctA577Irr84PrbjFlkBZDTjAeSA9vgt_qIf7UlPKmJS0pho-PhhR_LDhnPfnZ4jhCwLjMmhOluhKVtQX98A-6i0sKZVZ7ShLZ0Kb7Sw1QEvjgYmls91K9lqQTXAi6b3v2H6qsHidvY0DnS_3gwfvnSf9EfPoG_BcdBbNd</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Dragicevic-Antonic, Milica</creator><creator>Rankovic-Nicic, Ljiljana</creator><creator>Stamenkovic, Gordana</creator><creator>Petrovic, Masa</creator><creator>Loncar, Goran</creator><creator>Markovic, Nikola</creator><creator>Dimitrijevic, Ana</creator><creator>Bulatovic, Sulin</creator><creator>Cirkovic, Milan</creator><creator>Borzanovic, Branislava</creator><creator>Antonic, Zelimir</creator><creator>Pirnat, Maja</creator><creator>Manka, Robert</creator><creator>Bojic, Milovan</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8553-683X</orcidid><orcidid>https://orcid.org/0009-0003-5987-479X</orcidid><orcidid>https://orcid.org/0009-0009-4401-7297</orcidid><orcidid>https://orcid.org/0000-0002-3383-4998</orcidid><orcidid>https://orcid.org/0000-0003-1709-8449</orcidid></search><sort><creationdate>20240801</creationdate><title>Cardiac Angiosarcoma in the Right Atrium Treated by Surgical Resection</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d400t-2f8b38de2945e899cffdb35090b21e433f1fcbb38967ef7bba3102518188b8443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Angiosarcoma</topic><topic>Anticoagulants</topic><topic>Blood clot</topic><topic>Blood clots</topic><topic>Cancer</topic><topic>cardiac magnetic resonance imaging</topic><topic>Cardiomyopathy</topic><topic>Case Report</topic><topic>Chemotherapy</topic><topic>Clinical outcomes</topic><topic>Dyspnea</topic><topic>Echocardiography - 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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. 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| 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 |
| title | Cardiac Angiosarcoma in the Right Atrium Treated by Surgical Resection |
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