[Right atrium angiosarcoma disclosed by alveolar hemorrhage].
Cardiac angiosarcoma represents a primary cardiac malignancy tumor whose early diagnosis is difficult because of its non specific clinical presentation. We present the case of a 57 years old patient with medium abundance hemoptysis. The chest X ray film and CT scan showed bilateral pulmonary infiltrate without cardiac anomaly. Abdominal echography showed disseminated hepatic tumoral lesions. A transthoracic echocardiography made after apparition of heart failure symptoms found a right atrium cardiac tumor. The hepatic lesion biopsy showed angiosarcoma.


CONCLUSIONS
In presence of uncommon systemic symptoms like diffuse pulmonary lesions associated with cardiac anomaly, the diagnosis of angiosarcoma should be included.
Mahdhaoui
Abdallah
A
Service de cardiologie CHU Farhat Hached, 4000 Sousse, Tunisie. Abdallah.Mahdhaoui@famso.rnu.tn
Bouraoui
Hatem
H
Cheniour
Mohamed
M
Trimech
Besma
B
Mesghani
Sonia
S
Majdoub
Mohamed
M
Hayouni
Abdelaziz
A
Hajri
Samia Emez
SE
Jeridi
Gouider
G
Ammar
Habib
H
D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis*; D006394:Hemangiosarcoma / Q000150:complications / Q000175:diagnosis*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011650:Pulmonary Alveoli