title: [Cardiac Angiosarcoma with Acute Myocardial Infarction due to Tumor Embolism;Report of a Case].
abstract: We report the case of a 28-year-old man with a rare angiosarcoma complicated by acute myocardial infarction secondary to tumor embolism. He was transported to our emergency unit because of sudden onset of chest pain. The echocardiography showed a 42×60 mm mass in the left ventricle, and the coronary angiography showed embolic occlusion of the proximal left anterior descending and circumflex arteries. Emergent surgical removal of the mass was attempted under cardiopulmonary bypass, concomitant with double coronary artery bypass grafting and mitral valve replacement with a mechanical prosthesis. However, complete tumor excision was impossible. The postoperative pathological examination revealed undifferentiated angiosarcoma. Twenty days after the operation, the patient suffered acute cerebral hemorrhage from a metastatic tumor in the brain. He died at 37 days after the initial cardiac surgery.
authors: Department of Cardiovascular Surgery, Toyama Red Cross Hospital, Toyama, Japan.
authors: Yusuke
authors: Y
authors: Date
authors: Katsuyuki
authors: K
authors: Miyazu
authors: Masahiro
authors: M
authors: Ikeda
mesh_terms: D000208:Acute Disease; D000328:Adult; D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D004617:Embolism / Q000209:etiology*; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006394:Hemangiosarcoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed