Key result
Surgical excision of a left atrial myxoid sarcoma in a 41-year-old female presenting with cardiogenic shock allowed for initial discharge, but the patient subsequently developed lung metastases.
Why the study?
Cardiac myxoid sarcomas are rarely identified and may carry an unfavorable prognosis, warranting case reporting to increase clinical awareness and aid early diagnosis.
Case Report (n=1)
Primary cardiac sarcomas are rare and often diagnosed at an advanced stage, highlighting the need for early suspicion and biopsy in adult patients with progressive dyspnea.
Metastatic progression after resection cautions against assuming cure in left atrial myxoid sarcoma; leaves open optimal adjuvant strategies for this rare entity.
Cardiac tumors are a rare condition that typically presents with nonspecific symptoms. Among the histologic patterns, myxoid sarcomas are rarely identified and may have a less favorable prognosis. Reporting a case of this type of cardiac tumor can increase awareness about this condition and aid in early diagnosis, potentially leading to better outcomes. Case presentation: We are presenting a case of a 41-year-old female with left atrial myxoid sarcoma, which was presented with a cardiogenic shock picture. She underwent surgical excision of the mass and was discharged in good condition. After discharge, she deteriorated and was found to have lung metastases. Clinical discussion: Primary cardiac sarcomas, due to their rarity and poor prognosis, are often diagnosed at an advanced stage of the disease and lack sufficient data to establish a standard course of treatment. The cornerstone of therapy is surgical resection. However, novel therapeutic approaches must be developed. Conclusions: Primary cardiac tumors should be suspected in adult patients with progressive dyspnea, and a biopsy should also be done to determine the histopathological pattern of the mass and estimate the overall prognosis and outcomes.
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Khalil et al. (2023) conducted a case report in Left atrial myxoid sarcoma (n=1). Surgical excision was evaluated on Clinical outcome. Surgical excision of a left atrial myxoid sarcoma in a 41-year-old female presenting with cardiogenic shock allowed for initial discharge, but the patient subsequently developed lung metastases.
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