What question did this study set out to answer?

To report a rare case of primary right atrial angiosarcoma presenting with cardiac tamponade and an atypical continuous murmur that simulated a ruptured sinus of Valsalva aneurysm.

June 2, 2009Japanese Journal of Clinical Oncology

Cardiac Angiosarcoma with Cardiac Tamponade Diagnosed as a Ruptured Aneurysm of the Sinus Valsalva

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Population

56-year-old woman with a right atrial angiosarcoma presenting with impending cardiac tamponade

Design

Case_report

Authors

IYIsamu YoshitakeYamaguchi University MHMasahiro HataColumbia University Irving Medical Center ASAkira SezaiNihon University

Discussion

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Implication

Cardiac angiosarcoma can mimic sinus of Valsalva aneurysm rupture on echo; leaves open optimal preoperative differentiation strategies.

Key Points

To report a rare case of primary right atrial angiosarcoma presenting with cardiac tamponade and an atypical continuous murmur that simulated a ruptured sinus of Valsalva aneurysm.
Evaluated a 56-year-old woman presenting with impending cardiac tamponade using physical examination, auscultation, and transthoracic echocardiography.
Conducted emergent exploratory cardiac surgery to identify the source of pericardial effusion and the intracardiac shunt.
Preoperative echocardiography detected a continuous murmur and an apparent aorta-to-right-atrium shunt, prompting an initial misdiagnosis of a ruptured sinus of Valsalva aneurysm.
Intraoperative exploration revealed an unsuspected right atrial angiosarcoma with atrial wall perforation and an associated right coronary artery-to-right-atrial fistula.

Structured PICO

Population

56-year-old woman with a right atrial angiosarcoma presenting with impending cardiac tamponade

Intervention

Emergent operation

Outcome

Intraoperative diagnosis

Primary cardiac angiosarcoma can rarely present with a coronary artery fistula and continuous murmur, mimicking a ruptured aneurysm of the sinus valsalva.

Cite This Study

Yoshitake et al. (2009) studied this question.

synapsesocial.com/papers/6a7d088f1b8ecc4e569649b3 https://doi.org/10.1093/jjco/hyp044

Topics

Echocardiography

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Cardiac Angiosarcoma with Cardiac Tamponade Diagnosed as a Ruptured Aneurysm of the Sinus Valsalva

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Cardiac Angiosarcoma with Cardiac Tamponade Diagnosed as a Ruptured Aneurysm of the Sinus Valsalva

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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