Cardiac Angiosarcoma: From Cardiac Tamponade to Ischaemic Stroke – A Diagnostic Challenge

Meireles Chaves, Vanessa and Pereira, Catarina and Andrade, Marta and von Hafe, Pedro and Almeida, Jorge Santos (2019) Cardiac Angiosarcoma: From Cardiac Tamponade to Ischaemic Stroke – A Diagnostic Challenge. European Journal of Case Reports in Internal Medicine, 6 (4). ISSN ISSN: 2284-2594

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Abstract

Cardiac angiosarcoma (CA) is the most common primary malignant heart tumour. Its atypical symptoms and rapidly progressive nature contribute to delayed diagnosis and poor outcome. We report the case of a 52-year-old woman admitted with a large pericardial effusion. An extensive study of the aetiology of the pericardial effusion was inconclusive. Two months later the patient returned with ischaemic stroke. An echocardiogram revealed a probable right atrium contained rupture. The patient was submitted to surgical correction but died 9 days later. Histology revealed an angiosarcoma. This case exemplifies the atypical presentation of CA and highlights the importance of a multimodal diagnostic work-up in patients with idiopathic pericardial effusion.

Item Type: Article
Uncontrolled Keywords: Cardiac angiosarcoma, pericardial effusion, cardiac tamponade, pericardial biopsy, ischaemic stroke
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 10 Jun 2019 14:42
Last Modified: 10 Jun 2019 14:42
URI: http://eprints.bice.rm.cnr.it/id/eprint/18970

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