Texas Heart Institute Journal (Aug 2024)

Cardiac Mass in a 78-Year-Old Patient With a History of Cancer: Diagnostic and Treatment Challenges

  • Bihong Zhao, MD, PhD,
  • Ayah Zaqqa, MD,
  • Michelle M. McDonald, DO,
  • Ismael A. Salas de Armas, MD,
  • Igor D. Gregoric, MD,
  • L. Maximilian Buja, MD

DOI
https://doi.org/10.14503/THIJ-23-8299
Journal volume & issue
Vol. 51, no. 2
pp. 1 – 9

Abstract

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Primary cardiac angiosarcoma is a rare, aggressive malignancy that commonly metastasizes to various organs. The presenting symptoms are typically nonspecific, so a comprehensive examination is required to confirm the diagnosis promptly. This case report describes the presentation of an older patient with a history of neoplasms. Echocardiography and biopsy were performed, but despite surgical intervention to resect a large right atrial mass, the patient died. A final diagnosis of primary angiosarcoma was made based on the resected specimen.

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