ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Primary cardiac angiosarcoma and diffuse pulmonary hemorrhage: a case report
Melih Büyükşirin1, Necmettin Yakut4, Gülru Polat1, Adnan Kazım Usalan1, Tayfun Gökdoğan2, Nur Yücel1, Ali Küpeli3
1Department of Chest Diseases, Dr. Suat Seren Chest Diseases and Chest Surgery, Training and Research Hospital, İzmir
2Department of Cardiovascular Surgery, İzmir Atatürk Training and Research Hospital, İzmir
3Department of Pathology, Solar Pathology Laboratory, İzmir
4Department of Cardiovascular Surgery, Private Gazi Hospital, İzmir
DOI : 10.5606/tgkdc.dergisi.2012.024
Primary cardiac angiosarcoma is a very rare malignant tumor with very poor prognosis. Symptoms of the disease are nonspecific. One of the rare clinical presentations is diffuse pulmonary hemorrhage. A 61-year-old male was admitted to our clinic with the complaints of right side pain lasting for 10 days, cough and hemoptysis. The chest X-ray showed bilateral nodular lessions and increased cardiothoracic index. Thoracic computed tomography revealed cardiomegaly, showing a mass in 7x5 cm in the anterolateral right atrium with ground-glass appearance, predominantly in the mid and lower zones of bilateral lung fields. Echocardiography showed dilatation and hypertrophy of the left ventricle. The case underwent surgery with the initial diagnosis of myxoma. During surgery, cardiac angiosarcoma was diagnosed. The patient died due to respiratory failure soon after surgery. In this article, we present a case report, discussing the details of the diagnostic process based on pulmonary symptoms along with certain challenges.
Keywords : Angiosarcoma; diffuse pulmonary hemorrhage; heart neoplasm
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