Angiosarcoma of the heart. Unusual presentation and survival after treatment.
A 49 year old man presented with severe cyanosis and dyspnoea on exercise. Clinical examination together with echocardiography, cardiac catheterisation, and angiography showed a balloting tumour in the right atrium, intermittently occluding the tricuspid ostium, and an atrial right to left shunt. At operation a pedunculated vascular tumour was found with a broad base which was embedded in the atrial wall and continued into the interventricular septum. Histological examination showed angiosarcomatous features and signs of a less than radical excision. The patient, who made an uneventful recovery, was given postoperative radiotherapy. After 36 months there are no signs of recurrence or metastasis.
D000328:Adult; D000790:Angiocardiography; D003131:Combined Modality Therapy; D004452:Echocardiography; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000628:therapy; D006394:Hemangiosarcoma / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male