title: Case report of a patient with an intimal sarcoma of the pulmonary trunk presenting as a pulmonary embolism.
abstract: A fatal case of an 89-year-old woman with an intimal sarcoma obstructing the pulmonary trunk and an open foramen ovale is presented. Clinical symptoms, physical examination and further evaluation originally raised suspicion of a pulmonary embolism. Recent classification systems, specific radiological and pathological characteristics of sarcomas of the pulmonary trunk are discussed.
authors.affiliation: Medical Intensive Care Unit, Free University Hospital, Amsterdam, The Netherlands.
authors.forename: M C
authors.initials: MC
authors.lastname: Weijmer
authors.forename: J A
authors.initials: JA
authors.lastname: Kummer
authors.forename: L G
authors.initials: LG
authors.lastname: Thijs
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003951:Diagnostic Errors; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest; D006344:Heart Septal Defects, Atrial / Q000150:complications; D006801:Humans; D011651:Pulmonary Artery / Q000473:pathology*; D011655:Pulmonary Embolism / Q000209:etiology*; D012509:Sarcoma / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D017539:Tunica Intima / Q000473:pathology; D019043:Vascular Neoplasms / Q000150:complications / Q000175:diagnosis*; D014692:Ventilation-Perfusion Ratio