Key result
Cardiac angiosarcoma in a 43-year-old patient was rapidly fatal despite chemotherapy, with the primary tumor diagnosed at autopsy, highlighting the limited diagnostic value of echocardiography.
Case Report (n=1)
Cardiac angiosarcoma can present with lung metastases and limited cardiac symptoms, making diagnosis difficult and highlighting the limitations of echocardiography.
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Echocardiography may miss primary cardiac angiosarcoma in patients with lung metastases; leaves open the role of multimodality imaging for earlier detection.
Cardiac angiosarcoma is a rare tumour with very poor prognosis especially in patients with metastatic disease. We present the case of a 43 year old patient with angiosarcoma revealed by open lung biopsy for multiple pulmonary metastases. Cardiac symptoms were limited to a moderate pericarditis and no echocardiographic sign of heart tumour was observed. The clinical outcome was rapidly fatal despite chemotherapy. The cardiac primary tumour was diagnosed at autopsy. We emphasize the difficulties of diagnosing cardiac angiosarcoma and confirm the limited value of echocardiography for this diagnosis.
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Bic et al. (1994) conducted a case report in Cardiac angiosarcoma (n=1). Chemotherapy was evaluated on Clinical outcome. Cardiac angiosarcoma in a 43-year-old patient was rapidly fatal despite chemotherapy, with the primary tumor diagnosed at autopsy, highlighting the limited diagnostic value of echocardiography.
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