title: Primary Intimal Sarcoma of the Left Atrium: An Incidental Finding on Routine Echocardiography.
abstract: Cardiac sarcomas are extremely rare primary malignant tumors of the heart. In this article, we present the case of a 70-year-old female, who was found to have a left atrial mass during a routine outpatient transthoracic echocardiography. Further investigation with cardiac magnetic resonance imaging confirmed the presence of a bilobulated mass with heterogeneous enhancement. Left atrial myxoma was the first diagnostic consideration, followed by other primary cardiac tumors, and thrombus. The patient subsequently underwent resection of the mass, utilizing cardiopulmonary bypass. Upon pathological examination, the mass was found to be an intimal sarcoma. The objective of this report is to describe a case of this rare disease entity, and to discuss its presentation, pathological findings and management.
authors.affiliation: Department of Medicine, Staten Island University Hospital , Staten Island, NY, USA.
authors.forename: Gautam
authors.initials: G
authors.lastname: Valecha
authors.affiliation: Department of Medicine, Staten Island University Hospital , Staten Island, NY, USA.
authors.forename: Dhaval
authors.initials: D
authors.lastname: Pau
authors.affiliation: Department of Cardiology, Staten Island University Hospital , Staten Island, NY, USA.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Nalluri
authors.affiliation: Department of Pathology, Staten Island University Hospital , Staten Island, NY, USA.
authors.forename: Ying
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Hematology-Oncology, Staten Island University Hospital , Staten Island, NY, USA.
authors.forename: Farhan
authors.initials: F
authors.lastname: Mohammad
authors.affiliation: Department of Hematology-Oncology, Staten Island University Hospital , Staten Island, NY, USA.
authors.forename: Jean Paul
authors.initials: JP
authors.lastname: Atallah
keywords: Intimal sarcoma; aggressive; incidental; mesenchymal tumor; rare