Accurate diagnosis of metastatic cardiac leiomyosarcoma with infundibular stenosis and cardiac tamponade by transesophageal echocardiography and Gd-DTPA magnetic resonance imaging--report of a case.
We present a patient with metastatic cardiac leiomyosarcoma that was diagnosed antemortem by transesophageal echocardiography (TEE) and ECG-gated magnetic resonance imaging with gadolinium diethylene triaminepentaacetic acid (Gd-DTPA MRI). TEE and Gd-DTPA MRI clearly revealed the morphological characteristics of infundibular stenosis and cardiac tamponade. Our patient has survived about 30 months after cardiac surgery. Since sarcoma is usually associated with a very poor prognosis, surgical treatment should be performed as soon as possible. TEE with color Doppler imaging and Gd-DTPA MRI are very useful diagnostic methods for determining the precise anatomical characterization of cardiac tumor, and these procedures are prerequisite to precise therapy.
Suzuki
M
M
2nd Department of Internal Medicine, Ehime University School of Medicine, Japan.
Hamada
M
M
Abe
M
M
Matsuoka
H
H
Shigematsu
Y
Y
Sumimoto
T
T
Hiwada
K
K
Osuka
Y
Y
D000328:Adult; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D005260:Female; D019786:Gadolinium DTPA; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000556:secondary; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000175:diagnosis* / Q000556:secondary; D008279:Magnetic Resonance Imaging; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives*; D011662:Pulmonary Subvalvular Stenosis / Q000175:diagnosis / Q000209:etiology*
D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA