A case report of primary cardiac intimal sarcoma presenting with atrial fibrillation and a left atrial mass

Figures

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  Figure 1. Transthoracic echocardiogram showing a parasternal long-axis view of a thickened anterior mitral valve leaflet and an anterior left atrial wall.

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  Figure 2. Transthoracic echocardiogram showing an apical two-chamber view of a thickened anterior mitral valve leaflet.

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  Figure 3. Transoesophageal echocardiogram showing a mid-oesophageal view of a thickened anterior mitral valve leaflet and left atrial appendage.

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  Figure 4. Transoesophageal echocardiogram showing a mid-oesophageal four-chamber view of a thickened anterior mitral valve leaflet.

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  Figure 5. Transoesophageal echocardiogram showing an interatrial septum view of a thickened left atrial wall.

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  Figure 6. Transoesophageal echocardiogram showing an interatrial septum view of a thickened left atrial wall.

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  Figure 7. Cardiac magnetic resonance imaging showing an axial view of a sheet-like mass adherent to the septal side of the left atrial cavity.

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  Figure 8. Cardiac magnetic resonance imaging showing an axial view of the mass, which is hyperintense to myocardium on the T2 weighted sequence.

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  Figure 9. Cardiac magnetic resonance imaging showing a sagittal view of the cardiac mass lining the left atrium. The mass is hyperintense on Short-T1 Inversion Recovery.

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  Figure 10. Cardiac magnetic resonance imaging showing an axial view of the heart after surgical excision of the cardiac mass.

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  Figure 11. (A) Organizing thrombus with mononuclear infiltrate of large atypical cells (haematoxylin–eosin, original magnification ×100). (B) Organizing thrombus with mononuclear infiltrate of large atypical cells composed of round to polygonal cells with vesicular chromatin, prominent nucleolus and moderate cytoplasm (haematoxylin–eosin, original magnification 400×). (C) Similar large atypical cells are present in the metastasis to the T10/L1 vertebral bodies (haematoxylin–eosin, original magnification, 100×). (D) Similar large atypical cells are present in the metastasis to the T10/L1 vertebral bodies (haematoxylin–eosin, original magnification 400×).

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