Key result
The AngioVac mechanical aspiration device successfully removed a right atrial mass, which was pathologically confirmed as a rare metastatic endometrial carcinosarcoma.
Case Report (n=1)
No
Mechanical aspiration devices like AngioVac can be safely and effectively used to remove large right-sided intracavitary cardiac masses, aiding in symptom relief and definitive pathological diagnosis.
A 59-year-old female, with past medical history including endometrial carcinosarcoma with a port-a-cath device, presented due to shortness of breath. Transesophageal echocardiogram demonstrated a mass extending from the right atrium, involving the tricuspid valve, and extending into the right ventricle. Our differential diagnosis included thrombus as well as endocarditis and malignancy; a thrombus was considered to be the most likely etiology due to the port-a-cath device. Use of the novel AngioVac mechanical aspiration device (AngioDynamics, 2021) allowed removal of the mass as well as evaluation by pathology, establishing the unlikely diagnosis of metastatic endometrial carcinosarcoma.
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Javeed et al. (2022) conducted a case report in Intracavitary Cardiac Metastasis of Endometrial Carcinosarcoma (n=1). AngioVac mechanical aspiration device was evaluated on Mass removal and pathological diagnosis. The AngioVac mechanical aspiration device successfully removed a right atrial mass, which was pathologically confirmed as a rare metastatic endometrial carcinosarcoma.
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