title: Primary heart angiosarcoma detected by magnetic resonance imaging.
abstract: We present a case of primary heart angiosarcoma in a 38-year-old male. The patient presented with severe dyspnoe and arrhythmia. Echocardiography showed multiple solid masses in the pericardium and pericardial effusion. Chest radiography revealed left-sided pleural effusion and suspicion of a mass projected on the right atrium. Non-enhanced chest computed tomography raised the suspicion of a pericardial neoplasm projected on the right atrium adjacent to ascending aorta with markedly thickened pericardium and multiple round-shaped masses around the heart. Cardiac-gated magnetic resonance imaging demonstrated an inhomogeneous mass in the free wall of the right atrium adjacent to ascending aorta and multiple pericardial masses. Biopsy performed through thoracoscopy confirmed the diagnosis of a primary heart angiosarcoma.
authors.affiliation: Centre of Radiology, Vilnius University Hospital Santariskiu Klinikos, Clinic of Pulmonology and Radiology, Vilnius University, Vilnius, Lithuania. nomeda.valeviciene@santa.lt
authors.forename: N
authors.initials: N
authors.lastname: Valeviciene
authors.forename: M
authors.initials: M
authors.lastname: Mataciunas
authors.forename: A
authors.initials: A
authors.lastname: Tamosiunas
authors.forename: Z
authors.initials: Z
authors.lastname: Petrulioniene
authors.forename: R
authors.initials: R
authors.lastname: Briediene
mesh_terms: D000328:Adult; D001706:Biopsy; D003287:Contrast Media; D003937:Diagnosis, Differential; D004452:Echocardiography; D019786:Gadolinium DTPA; D006338:Heart Neoplasms / Q000175:diagnosis*; D006394:Hemangiosarcoma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; C064925:gadodiamide; D019786:Gadolinium DTPA