H�morrhagisch unspezifischer Perikarderguss als Vorbote eines H�mangiosarkoms des rechten Herzens

Primary Cardiac Angiosarcoma: A Case Report

Primary tumors of the heart are rarely seen. Cardiac angiosarcomas are malignant tumors that almost always have a poor prognosis. We describe a 29-year-old man with primary cardiac angiosarcoma with multiple site metastases. The therapeutic approach includes surgery, chemotherapy and radiotherapy alone or in combination. New techniques of radiotherapy and combined chemotherapeutic agents may relieve symptoms and prolong a patient's life. We discuss the diagnosis and treatment of cardiac angiosarcoma in the light of a case report.

Incidental identification of right atrial mass using bedside ultrasound: cardiac angiosarcoma

Background

Emergency ultrasound is now used in both community and academic hospitals for rapid diagnosis and treatment of life-threatening conditions. Bedside emergency echocardiography can rapidly identify significant pathology such as pericardial effusions and tamponade, right ventricle dilatation due to pulmonary embolism, and cardiac hypokinesis, and aid in the diagnosis and management of patients in emergency department (ED).

Case Report

A 41-year-old man presented twice to the ED with history of abdominal pain and was diagnosed with primary cardiac angiosarcoma with point-of-care ultrasound.

Conclusion

This case is illustrative of how bedside cardiac ultrasound in the ED can dramatically change a patient's hospital course.

Cardiac angiosarcoma: case report and review of the literature

Angiosarcoma of the heart, the most common primary malignant cardiac tumor in adults is known to carry a dismal prognosis. The diagnosis is often delayed because of the nonspecific clinical presentation. Symptoms are determined by the size and location of the tumor. Echocardiography has become the primary diagnostic technique because of its high degree of accuracy, noninvasiveness, and cost effectiveness. Complete surgical resection is required for improved survival. Conventional postoperative chemotherapy does not appear to modify the clinical course. We report a case of cardiac angiosarcoma with a large mural mass infiltrating the right atrial and ventricular walls and critically review the pertinent literature.

Cardiac Angiosarcoma Diagnosed and Characterized by Cardiac Magnetic Resonance Imaging

Primary cardiac malignancies are rare. New imaging methods like cardiac magnetic resonance imaging (MRI) play an important role in the early diagnosis and differentiation of cardiac masses. By presenting the case of a 63-year-old woman with an angiosarcoma of the right atrium and its characteristic findings on cardiac MRI, the role of this new imaging method is emphasized.