title: Leiomyosarcoma with coronary fistulae and ventricular septal perforation: A case study.
abstract: Coronary fistulae and ventricular septal perforation are very rare clinically, and even less caused by cardiac leiomyosarcoma. A case is reported that a 67-year-old female had cardiac leiomyosarcoma with progressive heart failure and coronary fistulae and ventricular septal perforation. This case was special since all ante-mortem examinations and cardiac surgery failed to detect the presence of any abnormal cardiac mass. Therefore, the malignant cardiac tumors could appear in an invasive form without mass and be one of the causes of the coronary fistulae and ventricular septal perforation.
authors.affiliation: Department of Cardiology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing100048, China.
authors.forename: Dang-Sheng
authors.initials: DS
authors.lastname: Huang
authors.affiliation: Department of Cardiology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing100048, China.
authors.forename: Yu-Mei
authors.initials: YM
authors.lastname: Wang
authors.affiliation: Department of Cardiac Surgery, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Chen
keywords: Cardiac leiomyosarcoma; Coronary fistulae; Heart failure; Ventricular septal perforation