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.
2nd Department of Internal Medicine, Ehime University School of Medicine, Japan.
M
M
Suzuki
M
M
Hamada
M
M
Abe
H
H
Matsuoka
Y
Y
Shigematsu
T
T
Sumimoto
K
K
Hiwada
Y
Y
Osuka
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