Key result
Transthoracic and transoesophageal echocardiography successfully identified a rare primary left atrial angiosarcoma in a 43-year-old woman presenting with acute coronary syndrome.
Why the study?
Primary cardiac neoplasms are extremely rare, often overlooked as a differential diagnosis, and angiosarcomas frequently present with nonspecific symptoms.
Case Report (n=1)
Highlights the pivotal role of echocardiography in identifying rare differential diagnoses, such as primary cardiac neoplasms, in patients presenting with acute coronary syndrome.
Answers are grounded in this paper and cite their sources.
Cardiac angiosarcoma may underlie atypical MI in young adults; leaves open whether early imaging alters outcomes.
Primary cardiac neoplasms are extremely rare and often overlooked as differential diagnosis. Angiosarcomas are the most common primary malignant neoplasms of the heart often with nonspecific symptoms. We present a 43-year-old woman admitted to our hospital with chest pain and inferoposterolateral myocardial infarction. Coronary angiography indicated the distal occlusion of the left circumflex artery. Transthoracic and transoesophagic echocardiography revealed a mass in the left atrium with probable myocardial infiltration and vascularisation. The mass in the left atrium was removed by surgical resection, and histopathology confirmed angiosarcoma. We emphasize the pivotal role of transthoracic and transoesophageal echocardiography in evaluating even rare differential diagnosis of acute coronary syndrome as cardiac neoplasms.
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Jurinjak et al. (2019) conducted a case report in Primary left atrial angiosarcoma presenting as acute coronary syndrome (n=1). Transthoracic and transoesophageal echocardiography and surgical resection was evaluated. Transthoracic and transoesophageal echocardiography successfully identified a rare primary left atrial angiosarcoma in a 43-year-old woman presenting with acute coronary syndrome.
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