Highlights a rare presentation of primary cardiac angiosarcoma complicated by hemopericardium and a coronary artery fistula.
Raises awareness for angiosarcoma in unexplained hemopericardium with fistula; hypothesis-generating and should not change practice.
Primary cardiac sarcoma is a rare tumor that is difficult to diagnose preoperatively. Hemopericardium and coronary artery fistula are rare complications of primary cardiac sarcoma. The authors report a case of primary cardiac angiosarcoma presenting with hemopericardium, secondary to right coronary artery-to-pericardial fistula, with a review of the literature.
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Reising et al. (1999) studied this question.
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