A clinical case of Ewing’s sarcoma with metastatic lesion of the left chambers of the heart

Abstract

Ewing’s sarcoma is a malignant bone tumor. It occurs more often in teenagers between 10–15 years old and metastasizes to the lungs and nervous system. Heart disease is atypical and occurs in only a few cases. We present a clinical case of late diagnosis of Ewing’s sarcoma in a 26-year-old patient with metastases in the left side of the heart. According to instrumental tests, hypermobile, ribbon-like formations were visualized on the cusps of the aortic and mitral valves with damage to the chordal apparatus. Coronary angiography was performed with embolextraction from the middle third of the left anterior descending artery and its diagonal branch, due to the clinical picture of anterior acute myocardial infarction with ST segment elevation. An urgent cardiac surgery was performed, in the attempt to prevent fatal incidents. During the revision, in addition to damage to the aortic and mitral valves of the heart, metastatic masses grew into the layer of the myocardium, the removal of which is technically impossible.In the early postoperative period, the patient died due to embolization into the brain and coronary arteries. Diagnosis of Ewing’s sarcoma requires timely diagnosis and treatment in order to prevent the rapid spread and development of life-threatening and fatal complications.