Unexplained hemopericardium as a presenting feature of primary cardiac angiosarcoma: a case report and a review of the diagnostic dilemma.
This report describes a patient diagnosed with a cardiac angiosarcoma. The patient presented with cardiac tamponade. A pericardiocentesis revealed a bloody effusion, but cytology was nondiagnostic and a chest computed tomography showed only mediastinal lymphadenopathy. His pericardial effusion recurred 3 weeks later, at which time he was found to have a large right atrial mass which proved to be a cardiac angiosarcoma. This case report underscores the difficulties encountered in the diagnosis of cardiac angiosarcoma.
El-Osta
Hazem Edmond
HE
Department of Medicine, University of Kansas School of Medicine-Wichita, Kansas, USA.
Yammine
Youssef S
YS
Chehab
Bassem M
BM
Fields
Andrew S
AS
Moore
Dennis F
DF
Mattar
Bassam I
BI
D002305:Cardiac Tamponade / Q000209:etiology; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006394:Hemangiosarcoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology*