Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report

We present the case of a young woman without a medical history who presented with a giant right atrial, transtricuspid, and right ventricular mass and in a severe clinical state. Multimodal imaging raised the suspicion of primary cardiac angiosarcoma. Due to rapid hemodynamic and respiratory deterio...

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Main Authors: Andreea Blindaru, Alexandru Vasilescu, Andrei Danet, Oana Zimnicaru, Maximilian Cristu, Stefan Tudorica, Tudor Borjog, Oana Patrascu, Catalin Constantin Badiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1115962/full
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author Andreea Blindaru
Alexandru Vasilescu
Andrei Danet
Oana Zimnicaru
Maximilian Cristu
Stefan Tudorica
Tudor Borjog
Oana Patrascu
Catalin Constantin Badiu
author_facet Andreea Blindaru
Alexandru Vasilescu
Andrei Danet
Oana Zimnicaru
Maximilian Cristu
Stefan Tudorica
Tudor Borjog
Oana Patrascu
Catalin Constantin Badiu
author_sort Andreea Blindaru
collection DOAJ
description We present the case of a young woman without a medical history who presented with a giant right atrial, transtricuspid, and right ventricular mass and in a severe clinical state. Multimodal imaging raised the suspicion of primary cardiac angiosarcoma. Due to rapid hemodynamic and respiratory deterioration, we were forced to perform surgical removal of the mass with a concomitant reconstruction of the involved right heart structures, only 48 h after presentation. The postoperative course was uneventful, and the patient was discharged from the intensive care unit 2 days later. Radical surgical resection with reconstruction of the resected heart structures was the only possible salvage option for giant angiosarcoma, which led to hemodynamic instability. Followed by chemotherapy, this radical approach may prolong survival.
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spelling doaj.art-3d55e154c6524d7bba935ea2c6546ef02023-03-01T06:30:25ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-03-011010.3389/fcvm.2023.11159621115962Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case reportAndreea Blindaru0Alexandru Vasilescu1Andrei Danet2Oana Zimnicaru3Maximilian Cristu4Stefan Tudorica5Tudor Borjog6Oana Patrascu7Catalin Constantin Badiu8Department of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Anesthesiology, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Anesthesiology, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Anatomopathology, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaWe present the case of a young woman without a medical history who presented with a giant right atrial, transtricuspid, and right ventricular mass and in a severe clinical state. Multimodal imaging raised the suspicion of primary cardiac angiosarcoma. Due to rapid hemodynamic and respiratory deterioration, we were forced to perform surgical removal of the mass with a concomitant reconstruction of the involved right heart structures, only 48 h after presentation. The postoperative course was uneventful, and the patient was discharged from the intensive care unit 2 days later. Radical surgical resection with reconstruction of the resected heart structures was the only possible salvage option for giant angiosarcoma, which led to hemodynamic instability. Followed by chemotherapy, this radical approach may prolong survival.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1115962/fullcardiac angiosarcomasurgery for cardiac angiosarcomaprimary cardiac tumorsurgical resection of giant cardiac angiosarcomaangiosarcoma of the heartcase report
spellingShingle Andreea Blindaru
Alexandru Vasilescu
Andrei Danet
Oana Zimnicaru
Maximilian Cristu
Stefan Tudorica
Tudor Borjog
Oana Patrascu
Catalin Constantin Badiu
Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report
Frontiers in Cardiovascular Medicine
cardiac angiosarcoma
surgery for cardiac angiosarcoma
primary cardiac tumor
surgical resection of giant cardiac angiosarcoma
angiosarcoma of the heart
case report
title Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report
title_full Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report
title_fullStr Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report
title_full_unstemmed Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report
title_short Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report
title_sort surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures a case report
topic cardiac angiosarcoma
surgery for cardiac angiosarcoma
primary cardiac tumor
surgical resection of giant cardiac angiosarcoma
angiosarcoma of the heart
case report
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1115962/full
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