Pulmonary Artery Intimal Sarcoma Mimicking Right Ventricular Outflow Tract Thrombus

Hammam Shereef, MD; Omar Nahhas, MD; Patrycja Galazka, MD; Steven C. Port, MD; Lakshmi Muthukumar, MD

JACC: Case Reports (Dec 2023)

Pulmonary Artery Intimal Sarcoma Mimicking Right Ventricular Outflow Tract Thrombus

Hammam Shereef, MD,
Omar Nahhas, MD,
Patrycja Galazka, MD,
Steven C. Port, MD,
Lakshmi Muthukumar, MD

Affiliations

Hammam Shereef, MD: Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Milwaukee, Wisconsin, USA
Omar Nahhas, MD: Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Milwaukee, Wisconsin, USA
Patrycja Galazka, MD: Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Milwaukee, Wisconsin, USA; Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, Wisconsin, USA
Steven C. Port, MD: Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Milwaukee, Wisconsin, USA; Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, Wisconsin, USA; Cardiovascular Computed Tomography Laboratory, Aurora Cardiovascular and Thoracic Services, Advocate Health, Milwaukee, Wisconsin, USA
Lakshmi Muthukumar, MD: Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Milwaukee, Wisconsin, USA; Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, Wisconsin, USA; Address for correspondence: Dr Lakshmi Muthukumar, Aurora Cardiovascular and Thoracic Services, Aurora St. Luke’s Medical Center, 2801 West Kinnickinnic River Parkway, Suite 130, Milwaukee, Wisconsin 53215, USA.

Journal volume & issue: Vol. 28
p. 102101

Abstract

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A 72-year-old man presented with breathlessness and a systolic murmur. Extensive diagnostic work-up revealed a rare pulmonary artery intimal sarcoma mimicking a right ventricular outflow tract thrombus and impacting a cardiac pacemaker lead. Surgical resection, pathology confirmation, and management strategies are discussed, highlighting the challenges of treating this rare malignancy.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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