Archives of the Turkish Society of Cardiology
An unusual cause of spontaneous hemothorax: cardiac angiosarcoma [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2013; 41(6): 526-528 | DOI: 10.5543/tkda.2013.73479

An unusual cause of spontaneous hemothorax: cardiac angiosarcoma

Gökhan Lafçı1, Kerim Çağlı1, Derya Tok2, Adnan Yalçınkaya1
1Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara
2Department of Cardiology, Türkiye Yüksek Ihtisas Hospital, Ankara

Angiosarcoma, the most common primary malignant neoplasm of the heart in adults, usually presents as pericardial effusion or right-sided heart failure. Rupture of an angiosarcoma-infiltrated cardiac chamber as a cause of hemothorax is very rare in the literature. In this report, we describe a 34-year-old male patient, who presented to emergency service with sudden chest pain and dyspnea. The diagnostic work-up revealed spontaneous right-sided hemothorax and a large right atrial (RA) mass with suspicious atrial perforation. An urgent surgery showed a vascularized irregular RA mass invading the parietal pericardium and pleura and a perforation of the RA free wall. Histopathologic examination confirmed the diagnosis of angiosarcoma, and the patient was subsequently referred for radiotherapy and chemotherapy.

Keywords: Diagnosis, differential, heart neoplasms, hemangiosarcoma/ complications; hemothorax/etiology; sarcoma/diagnosis.







How to cite this article
Gökhan Lafçı, Kerim Çağlı, Derya Tok, Adnan Yalçınkaya. An unusual cause of spontaneous hemothorax: cardiac angiosarcoma. Turk Kardiyol Dern Ars. 2013; 41(6): 526-528

Corresponding Author: Derya Tok, Türkiye
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