Primary Cardiac Angiosarcoma with Spontaneous Ruptures of the Right Atrium and Right Coronary Artery |
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Authors: | Kui Tang MD Quan‐Liang Shang MD PhD Qi‐Chang Zhou MD PhD Jia‐Wei Zhou MD Xiao‐Lin She MD Ming Zhang MD PhD |
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Institution: | 1. Department of Ultrasound, the 2nd Xiangya Hospital of Central South University, , Hunan, China;2. Department of Radiology, the 2nd Xiangya Hospital of Central South University, , Hunan, China;3. Department of Pathology, the 2nd Xiangya Hospital of Central South University, , Hunan, China |
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Abstract: | Primary tumors of the heart are rarely seen. Cardiac angiosarcomas are malignant tumors that almost always have a poor prognosis. Atrium rupture and coronary artery fistula are very rare complications of primary cardiac angiosarcoma. We describe a 57‐year‐old man suffering from primary cardiac angiosarcoma with spontaneous ruptures of the right atrium and right coronary artery (RCA). Theoretically, either of these ruptures invariably results in pericardial effusion and tamponade that is rare but potentially life threatening. In this instance, however, the patient might have developed fibrous adhesions resulted from previous bloody pericardial effusion. A massive pericardial effusion was localized, which consequently prevented cardiac tamponade and hemodynamic collapse. Echocardiography revealed the tumor progression leading to detectable infiltration of solid mass into the right atrial (RA) wall, which is close to RCA. And color Doppler displayed the flow into the pericardial cavity through a disrupted RA wall and perforated RCA. Echocardiography remains the primary method of choice for evaluation of cardiac masses. |
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Keywords: | cardiac tumor rupture right atrium right coronary artery echocardiography |
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