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Angiosarcoma Presenting as Syncope

Department of Pathology
¹ Department of Cardiology
² Department of Cardiothoracic Surgery, International Center for Cardio Thoracic and Vascular Diseases, Dr KM Cherian Heart Foundation Chennai, India

For reprint information contact: Sushma Nayar, MD, Tel: 91 44 2656 7200, Fax: 91 04 2656 5150, Email: divya_s35{at}hotmail.com, International Center for Cardio Thoracic and Vascular Diseases (A Unit of Frontier Lifeline), Dr KM Cherian Heart Foundation, R 30 C Ambattur Industrial Estate Road, Mogappair, Chennai 600 101, India.

A 31-year-old lady presented with anemia and syncope. Echocardiography revealed massive pericardial effusion with a right atrial mass. Transesophageal echocardiography, computed tomography and magnetic resonance imaging scans confirmed presence of a right atrial mass. Histopathology revealed a high grade angiosarcoma. Complete resection was done and the patient was referred to an oncology unit for further management. After three months the patient had extensive metastasis and succumbed to the disease. This case report highlights the clinical presentation, rapid and aggressive course of cardiac angiosarcomas.