Please use this identifier to cite or link to this item:
http://dx.doi.org/10.25673/117320
Title: | Case report : angiosarcoma of the pulmonary artery diagnosed as pulmonary artery emboli |
Author(s): | Korça, Edina![]() Kanaan, Jad Benke, Kálmán ![]() Veres, Gábor ![]() Michaelsen, Jens Kersten ![]() Szabó, Gábor |
Issue Date: | 2022 |
Type: | Article |
Language: | English |
Abstract: | Background: Angiosarcomas are the most common malignant tumors of the heart and great vessels. Late onset and unspecific symptoms are reasons why a diagnosis is made rather late at a time when most tumors have already metastasized. We report a rare case of an angiosarcoma presenting as pulmonary artery emboli. Case presentation: A 66-year-old patient was initially admitted to the hospital with a STEMI. Days later a successful reanimation due to ventricular fibrillation followed. An emboli of the pulmonary artery was diagnosed as the cause and after a lysis therapy the patient was discharged. A few weeks later the patient suffered an episode of absolute arrhythmia. TTE as well as CT-Scan showed an emboli of the pulmonary artery and a pericardial effusion with compression to the right ventricle. Intraoperative findings, showed an infiltrating tumor of the pulmonary artery, the pulmonary valve, the RVOT, the LA and LV. A resection of the tumor from the pulmonary artery, valve and RVOT was carried out. A new pulmonary valve was implanted with the reconstruction of the RVOT and pulmonary artery. Due to LV infiltration, only a palliative surgical approach was possible. Despite an uncomplicated postoperative course, the patient died at home two months later. Conclusion: Although a rarity, a tumor of the pulmonary artery should be taken into consideration as a differential diagnosis to pulmonary artery emboli. Development of better diagnostic tools (specific tumor markers) and more effective chemotherapeutic agents is necessary to improve the prognosis of these patients. |
URI: | https://opendata.uni-halle.de//handle/1981185920/119279 http://dx.doi.org/10.25673/117320 |
Open Access: | ![]() |
License: | ![]() |
Journal Title: | Journal of cardiothoracic surgery |
Publisher: | BioMed Central |
Publisher Place: | London |
Volume: | 17 |
Original Publication: | 10.1186/s13019-022-02036-w |
Page Start: | 1 |
Page End: | 4 |
Appears in Collections: | Open Access Publikationen der MLU |
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File | Description | Size | Format | |
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s13019-022-02036-w.pdf | 891.97 kB | Adobe PDF | ![]() View/Open |