Cardiac angiosarcoma, a case report

Authors

  • Lucas Mª López-Requejo Internal Medicine Service, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain https://orcid.org/0009-0000-3392-6852
  • Laura Porcel-Salud Internal Medicine Service, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain https://orcid.org/0009-0006-4699-0080
  • María Antonia Salud-Salvia Internal Medicine Service, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain https://orcid.org/0000-0002-7399-7484
  • José Alberto Arranz-Caso Internal Medicine Service, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain https://orcid.org/0000-0002-0112-4449

DOI:

https://doi.org/10.32818/reccmi.a9n1a9

Keywords:

angiosarcoma, neoplasia, cardiac tamponade

Abstract

Angiosarcoma is an extremely rare pathology with a male predominance. Echocardiography is the diagnostic mainstay. There is no defined therapeutic regimen and treatment is based on surgical resection accompanied by chemotherapy and radiotherapy, with a poor prognosis. Our clinical case deals with a young woman with cardiac angiosarcoma in the right atrium, as in 90% of cases, in which its debut as cardiac tamponade stands out, as well as the good initial response to the treatment regimen with chemotherapy and radiotherapy in neoadjuvant treatment, which achieved a survival of 12 months, higher than the average described.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Patel SD, Peterson A, Bartczak A, Lee S, Chojnowski S, Gajewski P, et al. Primary cardiac angiosarcoma – a review. Med Sci Monit. 2014; 20: 103-109. doi: https://doi.org/10.12659/MSM.889875 (último acceso mar. 2024). DOI: https://doi.org/10.12659/MSM.889875

Tang K, Shang QL, Zhou QC, Zhou JW, She XL, Zhang M. Primary cardiac angiosarcoma with spontaneous ruptures of the right atrium and right coronary artery. Echocardiography. 2013; 30(6): E156-160. doi: https://doi.org/10.1111/echo.12176 (último acceso mar. 2024). DOI: https://doi.org/10.1111/echo.12176

Look Hong NJ, Pandalai PK, Hornick JL, Shekar PS, Harmon DC, Chen YL, et al. Cardiac angiosarcoma management and outcomes: 20-year single-institution experience. Ann Surg Oncol. 2012; 19(8): 2707-2715. doi: https://doi.org/10.1245/s10434-012-2334-2 (último acceso mar. 2024). DOI: https://doi.org/10.1245/s10434-012-2334-2

Kupsky DF, Newman DB, Kumar G, Maleszewski JJ, Edwards WD, Klarich KW. Echocardiographic features of cardiac angiosarcomas: the Mayo Clinic experience (1976-2013). Echocardiography. 2016; 33(2): 186-192. doi: https://doi.org/10.1111/echo.13060 (último acceso mar. 2024).

Rettmar K, Stierle U, Sheikhzadeh A, Diederich KW. Primary angiosarcoma of the heart. Report of a case and review of the literature. Jpn Heart J. 1993; 34(5): 667-683. doi: https://doi.org/10.1536/ihj.34.667 (último acceso mar. 2024). DOI: https://doi.org/10.1536/ihj.34.667

Abu Saleh WK, Ramlawi B, Shapira OM, Al Jabbari O, Ravi V, Benjamin R, et al. Improved outcomes with the evolution of a neoadjuvant chemotherapy approach to right heart sarcoma. Ann Thorac Surg. 2017; 104(1): 90-96. doi: https://doi.org/10.1016/j.athoracsur.2016.10.054 (último acceso mar. 2024). DOI: https://doi.org/10.1016/j.athoracsur.2016.10.054

Simpson L, Kumar SK, Okuno SH, Schaff HV, Porrata LF, Buckner JC, Moynihan TJ. Malignant primary cardiac tumors: review of a single institution experience. Cancer. 2008; 112(11): 2440-2446. doi: https://doi.org/10.1002/cncr.23459 (último acceso mar. 2024). DOI: https://doi.org/10.1002/cncr.23459

Tyebally S, Chen D, Bhattacharyya S, Mughrabi A, Hussain Z, Manisty C. Cardiac tumors: JACC CardioOncology state-of-the-art review. JACC CardioOncol. 2020; 2(2): 293-311. doi: https://doi.org/10.1016/j.jaccao.2020.05.009 (último acceso mar. 2024). DOI: https://doi.org/10.1016/j.jaccao.2020.05.009

Published

2024-04-24

How to Cite

1.
López-Requejo LM, Porcel-Salud L, Salud-Salvia MA, Arranz-Caso JA. Cardiac angiosarcoma, a case report. Rev Esp Casos Clin Med Intern [Internet]. 2024 Apr. 24 [cited 2024 Jul. 3];9(1):26-8. Available from: https://www.reccmi.com/RECCMI/article/view/912