Primary right atrial angiosarcoma misdiagnosed as aortic intramural hematoma

Gyeong-Jo Byeon; Hyung-Gon Je; Hyeon-Jeong Lee; Ji-Uk Yoon; Joo-Yun Kim; Sang-Wook Shin; Kyung-Un Choi

doi:10.1016/j.asjsur.2014.01.001

Primary right atrial angiosarcoma misdiagnosed as aortic intramural hematoma

Asian J Surg. 2016 Jul;39(3):191-4. doi: 10.1016/j.asjsur.2014.01.001. Epub 2014 Mar 15.

Authors

Gyeong-Jo Byeon¹, Hyung-Gon Je², Hyeon-Jeong Lee³, Ji-Uk Yoon¹, Joo-Yun Kim¹, Sang-Wook Shin¹, Kyung-Un Choi⁴

Affiliations

¹ Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Seogu, Busan, South Korea.
² Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Seogu, Busan, South Korea.
³ Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Seogu, Busan, South Korea. Electronic address: lhjksk@pusan.ac.kr.
⁴ Department of Pathology, School of Medicine, Pusan National University, Seogu, Busan, South Korea.

PMID: 24637187
DOI: 10.1016/j.asjsur.2014.01.001

Abstract

The overall incidence of cardiac tumor is very low, and malignant cardiac tumors account for only 25% of all cardiac tumors. Angiosarcomas are the most common type of malignant cardiac tumors, characterized by rapidly proliferating, extensively infiltrating anaplastic cells derived from blood vessels and lining irregular blood-filled spaces. We present a 26-year-old man with angiosarcoma involving the right atrium, which was misdiagnosed as aortic intramural hematoma by computed tomography, finally confirmed by transesophageal echocardiography during the operation.

Keywords: angiosarcoma; cardiac tamponade; hematoma; transesophageal echocardiography.

Publication types

Case Reports

MeSH terms

Adult
Aortic Diseases / diagnosis*
Diagnostic Errors*
Heart Atria
Heart Neoplasms / diagnosis*
Heart Neoplasms / surgery
Hemangiosarcoma / diagnosis*
Hemangiosarcoma / surgery
Hematoma / diagnosis*
Humans
Male