title: Resection of a right atrial epithelioid hemangioendothelioma.
abstract: A right atrial mass excised from the heart of a 53-year-old man was incidentally found to be an epithelioid hemangioendothelioma (EHE). EHE is a rare malignant tumor with marked variability in clinical outcomes. Cardiac involvement is unusual but does occur [Bisesi MA, Broderick LS, Smith JA. MR demonstration of right atrial involvement in multifocal epithelioid hemangioendothelioma. AJR Am J Roentgenol 1996;167(4):953-4; Di Biasi P, Scrofani R, Santoli C. Cardiac hemangioendothelioma. Ann Thorac Surg 1995;59(3):792-3], and the prognostic is usually considered relatively good after resection. However, the tumor in this case shows atypical features, which raises concerns. In addition to complete en bloc resection, a close follow-up is considered mandatory.
authors: Department of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Canada; Department of Cardiovascular and Thoracic Surgery, Habib Bourguiba Hospital, University of Sfax, Tunisia.
authors: Mariam
authors: M
authors: Ellouze
authors: Pathology Department, Centre Hospitalier Universitaire de Montreal, Université de Montréal, Canada.
authors: Meriame
authors: M
authors: Dami
authors: Department of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Canada.
authors: Yann
authors: Y
authors: Beaulieu
authors: Department of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Canada.
authors: Louis P
authors: LP
authors: Perrault
authors: Pathology Department, Centre Hospitalier Universitaire de Montreal, Université de Montréal, Canada; Pathology Department, Montreal Heart Institute, University of Montréal, Canada. Electronic address: philippe.romeo@icm-mhi.org.
authors: Philippe
authors: P
authors: Romeo
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000737:chemistry / Q000473:pathology / Q000601:surgery*; D018323:Hemangioendothelioma, Epithelioid / Q000737:chemistry / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007150:Immunohistochemistry; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor
keywords: Cardiac tumor; Epithelioid hemangioendothelioma; Right atrium