Key result
Multimodality imaging with orthogonal TEE guides complex biopsy to diagnose rapidly growing cardiac angiosarcoma.
Why the study?
The detection of cardiac masses poses a diagnostic challenge across a broad spectrum of entities. This report illustrates the use of multimodality imaging and simultaneous orthogonal TEE to guide complicated cardiac biopsies in a rare case of cardiac angiosarcoma.
Case Report (n=1)
Demonstrates the utility of multimodality imaging and simultaneous orthogonal transesophageal echocardiography in diagnosing and guiding complicated biopsies of rare cardiac angiosarcomas.
Answers are grounded in this paper and cite their sources.
May aid diagnosis of rare cardiac angiosarcoma via imaging-guided biopsy; hypothesis-generating and requires prospective validation.
The detection of cardiac masses can pose a diagnostic challenge. Cardiac masses encompass a broad spectrum of entities that can be categorized into nonneoplastic masses, benign neoplasms, primary malignant neoplasms, metastatic tumors, and pseudomasses/normal variants. Thrombus is the most common cardiac mass overall, whereas metastasis is the most common cardiac neoplasm.1,2 We present a rare case of a patient with upper venous congestion due to a rapidly growing cardiac angiosarcoma, demonstrating the use of multimodality imaging in the diagnostic pathway and highlighting the potential of simultaneous orthogonal transesophageal echocardiography (TEE) to guide complicated cardiac biopsies.
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Wester et al. (2026) conducted a case report in Cardiac angiosarcoma with upper venous congestion (n=1). Multimodality imaging and simultaneous orthogonal transesophageal echocardiography (TEE)-guided cardiac biopsy was evaluated. Multimodality imaging and simultaneous orthogonal transesophageal echocardiography guided a complicated cardiac biopsy to diagnose a rapidly growing cardiac angiosarcoma in 1 patient.
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