JAPANESE CIRCULATION JOURNAL
Online ISSN : 1347-4839
Print ISSN : 0047-1828
Case Report
Primary Cardiac Angiosarcoma Associated With Cardiac Tamponade
Case Report
Kiyohiro OshimaAkio OhtakiMotoi KanoSyouiti TangeYutaka HasegawaFumihiro IkedaSusumu IshikawaYasuo Morishita
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1999 Volume 63 Issue 10 Pages 822-824

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Abstract

A 57-year-old male with primary cardiac angiosarcoma was initially admitted for cardiac tamponade. Pericardiocentesis was performed twice preoperatively, but the bloody pericardial fluid was cytologically negative for malignant cells. The tumor in the right atrium was resected during cardiopulmonary bypass. The resected tumor was 5.5×4.5×3.0 cm in size and the diagnosis of cardiac angiosarcoma was made histologically. There were no tumor cells in the surgical margin. Unfortunately the patient died 3.5 months after surgery due to multiple recurrence in the pericardium. A suitable therapy for cardiac angiosarcoma is still controversial, but early antemortem diagnosis and more aggressive combined treatment should be considered. (Jpn Circ J 1999; 63: 822 - 824)

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© 1999 THE JAPANESE CIRCULATION SOCIETY
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