title: Metastatic Cardiac Angiosarcoma in a 26-Year-Old Male.
abstract: BACKGROUND
  Cardiac angiosarcomas are an extremely rare tumor with an incidence of only 0.056%. Diagnosing this rare tumor becomes even more difficult as the presentation of cardiac angiosarcomas varies based on anatomic location. Depending on the tumor's proximity to valves, symptoms may be more consistent with heart failure, while growth throughout the conduction system may produce arrhythmias.
  
  
  METHODS
  We present the case of a young male with a significant tumor burden of cardiac angiosarcoma in his lungs whose symptoms included pleuritic chest pain and hemoptysis. This patient did not have the classic finding of right-sided heart failure; instead, his presenting complaint was hemoptysis.
  
  
  CONCLUSIONS
  The diagnostician's differential diagnosis must be broad when encountering common chief complaints, such as hemoptysis and chest pain.
authors.affiliation: Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, LA.
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Ellent
authors.affiliation: Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Chong-Yik
authors.affiliation: Department of Pulmonary and Critical Care, Ochsner Clinic Foundation, New Orleans, LA.
authors.forename: Abdul Mukhtadir
authors.initials: AM
authors.lastname: Khan
keywords: Angiosarcoma; coronary arteries; heart failure; heart neoplasm; hemoptysis