Primary Cardiac Angiosarcoma with Right Coronary Artery-to-Pericardial Fistula

Reising, Christopher A.; Thieman, Kelley E.; Nuss, F; Ap, Latcham

doi:10.1177/000331979905000913

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…[4][5][6][7] To the best of our knowledge, this is the first case of simultaneous rupture of right atrium and RCA. [4][5][6][7] To the best of our knowledge, this is the first case of simultaneous rupture of right atrium and RCA.…”

Section: Discussionmentioning

confidence: 99%

“…Hemopericardium, atrium rupture, and coronary artery fistula are very rare complications of primary cardiac angiosarcoma with <10 cases reported. [4][5][6][7] To the best of our knowledge, this is the first case of simultaneous rupture of right atrium and RCA. Theoretically, either of these disorders could cause sudden cardiac death, which, however, did not happen to this patient.…”

Section: Discussionmentioning

confidence: 99%

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Primary Cardiac Angiosarcoma with Spontaneous Ruptures of the Right Atrium and Right Coronary Artery

et al. 2013

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary Cardiac Angiosarcoma with Spontaneous Ruptures of the Right Atrium and Right Coronary Artery

et al. 2013

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“…Etiologically, some rare pathologies can cause such mass lesions. For instance, hemopericardium and coronary artery fistula are rare complications of primary cardiac sarcoma [6]. Cardiac echinococcosis should be included in the differential diagnosis of cardiac mass lesions, particularly in patients originating from endemic areas [7].…”

Section: Discussionmentioning

confidence: 99%

A Case of Coronary Artery Fistula Draining into the Pericardium Causing Hematoma

Mutlu,

Küçükoǧlu,

Özhan

et al. 2001

Cardiovascular Surgery

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A 28-yr old female patient admitted to our clinic because of dyspnea and chest pain. Her transesophageal echocardiography demonstrated a huge mass on the anterolateral wall of the left ventricle causing dysfunction of the myocardium. Coronary angiography demonstrated left anterior descending artery fistula draining into the pericardial cystic mass. Hydatic cyst was suspected and ELISA and hemagglutinin tests were both negative for Echinococcus granulosus. Magnetic resonance image of the heart showed a mass thought to be a hematoma inside the cyst. She underwent surgery. The cystic lesion with a pure hematoma inside, was excised, and the fistula between left anterior descending artery and the mass was ligated without any complications. To our knowledge, this is the first case of a pericardial hematoma due to a coronary artery fistula, in the English literature.

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“…Acquired coronary fistulas may be caused by blunt or penetrating trauma, or iatrogenically during coronary angiography [2]. Case reports have documented coronary fistulas into angiosarcomas [3] and even one coronary fistula into a pericardial hematoma, the cause of which could not be found [4]. All are rare occurrences.…”

Section: Commentmentioning

confidence: 99%