Spontaneous rupture of a right atrial angiosarcoma and cardiac tamponade

Corso, Ricardo Barros; Kraychete, Nadja; Nardeli, Sidnei; Moitinho, Rilson; Ourives, Cristiano; Silva, Rosenbert Mamedio da; Pereira, Ricardo Eloy

doi:10.1590/s0066-782x2003001400008

Cited by 18 publications

(24 citation statements)

References 9 publications

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“…Angiosarcoma of the heart involves the right atrium almost exclusively, but it has been reported in other cardiac chambers (2). Angiosarcomas of the heart grow rapidly, usually within the myocardial wall, they are characterized by a tendency to bleed, often associated with pericardial effusion and cardiac tamponade (3,4). Such characteristics happened in the present case.…”

Section: Discussionsupporting

confidence: 54%

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A Right Heart Angiosarcoma with Rapidly Progressing Hemorrhagic Pericardial Effusion

2011

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Primary tumors of the heart are rare. Among them angiosarcoma is the most common malignant tumor of the heart and is characterized by rapid growth, local invasion, and distant metastasis. Its clinical presentation is variable. We describe a 66-year-old man who suffered from cough and hemoptysis and then experienced rapidly progressing hemorrhagic pericardial effusion. After a set of examinations he was diagnosed as right heart angiosarcoma. His outcome was poor.

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Section: Discussionsupporting

confidence: 54%

“…A large tumor (5×5×6 cm 3 ) occupied the majority of the right atrial cavity with infiltration within the right atrial wall, right ventricular wall and right coronary artery. Complete resection was not possible because of diffuse infiltration.…”

Section: Case Reportmentioning

confidence: 99%

A Right Heart Angiosarcoma with Rapidly Progressing Hemorrhagic Pericardial Effusion

2011

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“…Common age of presentation is the third to fifth decade and is more frequent in male (ratio male/female: 2-3/1). An angiosarcoma of the heart is considered primary if there is no evidence of previous or concomitant tumors in the soft tissue, bone, or subcutaneous tissue [10]. Angiosarcoma of the heart usually involves the right atrium, and it is characterized by a rapid and infiltrating growth within the myocardial wall, friability, and tendency toward bleeding [11].…”

Section: Discussionmentioning

confidence: 99%

Primary Cardiac Angiosarcoma: A Fatal Disease

Antonuzzo

Rotella

Mazzoni

et al. 2009

Case Reports in Medicine

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A 42-year-old man with a cardiac tamponade underwent an urgent pericardiotomy that showed tumoral tissue, covering the surface of the right atrium. The tumor was then partially excised, and the histological examination revealed the presence of a moderately-differentiated angiosarcoma. The patient was then referred to the oncology unit and scheduled for a chemotherapy schedule including Epirubicin (60 mg/m2, on days 1 and 2) plus Ifosfamide (2000 mg/m2, on days 1 to 3) and Uromitexan (2000 mg/m2 at hours 0, 4, 8 after IFO). All drugs were administered every three weeks. After two cycles, a restaging work-up revealed a partial remission. The treatment was continued for another two cycles. A new evaluation by cardiac MRI evidenced a local and distant (lung) progression of disease. The patient died after three months. This paper confirms that cardiac angiosarcoma is a fatal disease, and the prognosis is usually 6–11 months from time of diagnosis.

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“…Less than 10 cases, including our own, have been reported in total. [11][12][13][14][15][16][17][18] There are several diagnostic modalities for cardiac angiosarcoma. Echocardiography is the initial imaging modality of choice, while CT and Magnetic resonance imaging (MRI) are complementary imaging for a better characterization of the tumor growth and involvement.…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%