Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report

Cardiac angiosarcoma is a rare, malignant neoplasm affecting the heart. We present the clinical history of a 40-year-old patient diagnosed with metastatic angiosarcoma of the heart. The patient complained of shortness of breath, and a cardiac computed tomography scan revealed a mass in the right atr...

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Main Authors: Soo Yeon An, Man-Shik Shim
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/16/2666
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author Soo Yeon An
Man-Shik Shim
author_facet Soo Yeon An
Man-Shik Shim
author_sort Soo Yeon An
collection DOAJ
description Cardiac angiosarcoma is a rare, malignant neoplasm affecting the heart. We present the clinical history of a 40-year-old patient diagnosed with metastatic angiosarcoma of the heart. The patient complained of shortness of breath, and a cardiac computed tomography scan revealed a mass in the right atrium and pericardial effusion. Transthoracic and transesophageal echocardiography provided detailed anatomical and functional information, and cardiac magnetic resonance imaging and fluorodeoxyglucose-positron emission tomography/computed tomography were used to assess distant metastasis and characterize the mass in detail. Early differential diagnosis and comprehensive evaluation of a cardiac mass are vital for determining appropriate treatment strategies to improve patient outcomes. The pathological results from the endocardial biopsy confirmed the diagnosis of primary angiosarcoma. The patient underwent surgical resection of the right atrial mass but died within one month because of the locally advanced nature of the angiosarcoma and its rapid progression. The patient’s medical journey sheds light on the challenges associated with diagnosing and treating this rare condition, particularly the rapid progression of its cardiac manifestations.
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spelling doaj.art-82c6ac18cfc34a90ab0c5b69b479cf4c2023-11-19T00:48:23ZengMDPI AGDiagnostics2075-44182023-08-011316266610.3390/diagnostics13162666Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case ReportSoo Yeon An0Man-Shik Shim1Department of Medical Sciences, College of Medicine, Chungnam National University, 266 Moonhwa-lo, Daejeon 35015, Republic of KoreaDepartment of Cardiothoracic Surgery, Chungnam National University Hospital, 282 Moonhwa-lo, Daejeon 35015, Republic of KoreaCardiac angiosarcoma is a rare, malignant neoplasm affecting the heart. We present the clinical history of a 40-year-old patient diagnosed with metastatic angiosarcoma of the heart. The patient complained of shortness of breath, and a cardiac computed tomography scan revealed a mass in the right atrium and pericardial effusion. Transthoracic and transesophageal echocardiography provided detailed anatomical and functional information, and cardiac magnetic resonance imaging and fluorodeoxyglucose-positron emission tomography/computed tomography were used to assess distant metastasis and characterize the mass in detail. Early differential diagnosis and comprehensive evaluation of a cardiac mass are vital for determining appropriate treatment strategies to improve patient outcomes. The pathological results from the endocardial biopsy confirmed the diagnosis of primary angiosarcoma. The patient underwent surgical resection of the right atrial mass but died within one month because of the locally advanced nature of the angiosarcoma and its rapid progression. The patient’s medical journey sheds light on the challenges associated with diagnosing and treating this rare condition, particularly the rapid progression of its cardiac manifestations.https://www.mdpi.com/2075-4418/13/16/2666cardiac massprimary angiosarcomamultimodality imagingcardiac magnetic resonance imaging
spellingShingle Soo Yeon An
Man-Shik Shim
Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
Diagnostics
cardiac mass
primary angiosarcoma
multimodality imaging
cardiac magnetic resonance imaging
title Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_full Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_fullStr Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_full_unstemmed Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_short Rapidly Progressive Metastatic Angiosarcoma of the Heart: A Case Report
title_sort rapidly progressive metastatic angiosarcoma of the heart a case report
topic cardiac mass
primary angiosarcoma
multimodality imaging
cardiac magnetic resonance imaging
url https://www.mdpi.com/2075-4418/13/16/2666
work_keys_str_mv AT sooyeonan rapidlyprogressivemetastaticangiosarcomaoftheheartacasereport
AT manshikshim rapidlyprogressivemetastaticangiosarcomaoftheheartacasereport