What is the clinical evidence from this study?

Study design: Case Report. Population: Primary cardiac angiosarcoma (n=1). Intervention: Emergency surgery.

What does this research mean for the field?

Primary cardiac angiosarcoma can present with rare and aggressive complications, such as right atrial endocardial dissection and right coronary artery tumor fistula, necessitating early multimodal imaging and multidisciplinary surgical intervention. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This case aims to illustrate the rare presentation and challenges associated with diagnosing primary cardiac angiosarcoma.

May 31, 2026Clinical Case ReportsOpen Access

Primary Cardiac Angiosarcoma in a Young Male: Rare Presentation With Right Atrial Endocardial Dissection and Right Coronary Artery Tumor Fistula

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Key result

Emergency surgery reveals primary cardiac angiosarcoma in a 19-year-old with an RCA-supplied right atrial mass.

Population

A 19-year-old man presenting with exertional dyspnea, pulmonary nodules, chest pain, and signs of pericarditis

Design

Case report

Authors

NANehzat AkiashAhvaz Jundishapur University of Medical Sciences RKRamtin Rezaee KalantariAhvaz Jundishapur University of Medical Sciences SASomayeh AbbaspourAhvaz Jundishapur University of Medical Sciences

Discussion

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Implication

Highlights diagnostic challenges in young adults with cardiac masses; leaves open optimal management strategies.

Key Points

This case aims to illustrate the rare presentation and challenges associated with diagnosing primary cardiac angiosarcoma.
Observational clinical presentation of a 19-year-old male with exertional dyspnea and hemostasis.
Imaging studies including transthoracic and transesophageal echocardiography were used for diagnosis.
Surgical intervention and pathology analysis were performed to confirm the diagnosis.
Pathology confirmed primary cardiac angiosarcoma with aggressive behavior.
Surgery highlighted complex anatomical involvement of the right coronary artery with tumor fistula.
Early imaging and multidisciplinary approaches were underscored as crucial for effective management.

Study Design

Type

Case Report (n=1)

Multicenter

Structured PICO

Population

19-year-old man presenting with exertional dyspnea, pulmonary nodules, chest pain, and signs of pericarditis, found to have a right atrial mass.

Intervention

Emergency surgery and intraoperative coronary angiography

Outcome

Diagnosis of primary cardiac angiosarcoma

This case highlights the aggressive behavior, diagnostic challenges, and therapeutic complexity of primary cardiac angiosarcoma presenting with rare complications like right atrial endocardial dissection and RCA tumor fistula.

Cite This Study

Akiash et al. (2026) conducted a case report in Primary cardiac angiosarcoma (n=1). Emergency surgery was evaluated. A 19-year-old man was diagnosed with primary cardiac angiosarcoma presenting with a right atrial mass supplied by the right coronary artery, requiring emergency surgery.

synapsesocial.com/papers/6a1bd0525783ba022b6fc36f https://doi.org/10.1002/ccr3.72760

Topics

Coronary CT angiography

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Primary Cardiac Angiosarcoma in a Young Male: Rare Presentation With Right Atrial Endocardial Dissection and Right Coronary Artery Tumor Fistula

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Primary Cardiac Angiosarcoma in a Young Male: Rare Presentation With Right Atrial Endocardial Dissection and Right Coronary Artery Tumor Fistula

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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Topics

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