Cardiac angiosarcoma arising from pulmonary artery: endovascular treatment.
We report a case of unusual origin of cardiac angiosarcoma rising from the pulmonary trunk. The tumor caused severe obstruction of the right ventricular outflow tract with serious symptoms of right ventricular failure and tricuspid insufficiency. The angiosarcoma was surgically unresectable because of infiltration of the pulmonary artery and cardiac structures. To relieve the patient's symptoms we chose an endovascular stent treatment to dilate the right ventricular outflow tract obstruction. Consequently this palliative treatment changed the short-term prognosis of the patient, improving his quality of life, and at 6 months follow-up he remains asymptomatic.
Department of Cardiac Surgery II, University La Sapienza, Rome, Italy. marcototaro@virgilio.it
Marco
M
Totaro
Fabio
F
Miraldi
Claudia
C
Ghiribelli
Chiara
C
Biscosi
D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D004417:Dyspnea / Q000209:etiology; D004487:Edema / Q000209:etiology; D006338:Heart Neoplasms / Q000150:complications / Q000188:drug therapy / Q000532:radiotherapy / Q000628:therapy*; D006394:Hemangiosarcoma / Q000150:complications / Q000188:drug therapy / Q000532:radiotherapy / Q000628:therapy*; D006801:Humans; D008297:Male; D010166:Palliative Care; D011379:Prognosis; D011651:Pulmonary Artery / Q000473:pathology*; D011788:Quality of Life; D018714:Radiotherapy, Adjuvant; D015607:Stents; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000628:therapy; D014463:Ultrasonography; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy
D000970:Antineoplastic Agents