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Case Reports
. 2014 Jul 31;4(3).
doi: 10.3402/jchimp.v4.23057. eCollection 2014.

Primary cardiac sarcoma presenting as acute left-sided heart failure

Ranjan Pathak  1 , Santosh Nepal  2 , Smith Giri  3 , Sushil Ghimire  1 , Madan Raj Aryal  1
Affiliations
Case Reports

Primary cardiac sarcoma presenting as acute left-sided heart failure

Ranjan Pathak et al. J Community Hosp Intern Med Perspect. .

Abstract

Primary cardiac sarcomas are rare malignant tumors of the heart. Clinical features depend on the site of tumor and vary from symptoms of congestive heart failure to thromboembolism and arrhythmias. Echocardiography is helpful but definitive diagnosis is established by histopathology. Surgical resection is the mainstay of treatment, and the role of chemotherapy and radiotherapy is unclear. We report a case of primary cardiac sarcoma which presented with signs and symptoms of acute left-sided heart failure.

Keywords: heart failure; heart neoplasms; left-sided heart failure; primary cardiac sarcoma.

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Figures

Fig. 1
Fig. 1
CT scan without contrast showing right pleural effusion and right hilar adenopathy with suggestion of node or mass with size of 3.2×2.2 cm.
Fig. 2
Fig. 2
(a and b) 2-D Echo showing atrial mass originating from left side of the interatrial septum extending beyond mitral valve to left ventricle (measuring 8.15×2.24 cm).
Fig. 3
Fig. 3
Slide showing pleomorphic neoplasm with atypical cells with hyperchromatic nuclei scattered atypical mitotic figures.
See this image and copyright information in PMC

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