A Giant Primary Angiosarcoma Invading the Right Heart in a Young Male: An Emergency Surgery

Primary cardiac angiosarcoma is very rare. In this report, we describe an interesting case of a 25-year-old male with a giant primary angiosarcoma invading the right heart. He was urgently admitted to the hospital for respiratory distress. Once the diagnosis was suspected by chest x-ray, echocardiog...

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Bibliographic Details
Published in:Cureus 2024, Vol.16 (3), p.e56309-e56309
Main Authors: Elmalki, Hicham, Berkane, Mohammed Taha, Moutaouekkil, Mehdi
Format: Report
Language:English
Online Access:Get full text
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Summary:Primary cardiac angiosarcoma is very rare. In this report, we describe an interesting case of a 25-year-old male with a giant primary angiosarcoma invading the right heart. He was urgently admitted to the hospital for respiratory distress. Once the diagnosis was suspected by chest x-ray, echocardiography, and CT scan, and given the patient's hemodynamic and respiratory instability, an emergency open-heart surgery was necessary to prevent complications. Through a right atriotomy and a pulmonary infundibulotomy, the tumor was resected. Invaded by the tumoral process, the tricuspid valve was replaced with a biological prosthesis. The postoperative course was marked by severe right ventricular dysfunction with multiorgan failure. Histopathologic examination of the surgical specimen confirmed a primary cardiac angiosarcoma.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.56309