Primary cardiac angiosarcoma evaluated with contrast two-dimensional and real-time three-dimensional echocardiography.
A 63-year-old lady presented with syncope and atypical chest pain. Conventional two-dimensional (2D) contrast echocardiogram showed a highly vascular mass compressing the right atrium without direct communication. A real-time three-dimensional echocardiogram (RT3DE) revealed its outer spatial relationship with the surrounding structures and its inner heterogeneity as well. A chest computed tomography revealed a solid cardiac mass (6 x 7 cm(2)) arising from the right atrium and multiple pulmonary nodules. Histopathology of the pericardial fluid confirmed angiosarcoma. To our knowledge, this is the first report of histology-confirmed primary cardiac angiosarcoma, which was completely evaluated by conventional 2D, contrast, and RT3DE.
Yang
Hyun Suk
HS
Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Mayo Clinic Arizona, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Sengupta
Shantanu
S
Umland
Matt M
MM
Chandrasekaran
Krishnaswamy
K
Mookadam
Farouk
F
D002637:Chest Pain / Q000209:etiology; D004452:Echocardiography / Q000379:methods*; D019560:Echocardiography, Three-Dimensional; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006394:Hemangiosarcoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D013575:Syncope