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Primary angiosarcoma of the heart
  1. Usha Rao1,
  2. J Curtin2,
  3. A Ryding1
  1. 1Department of Cardiology, Norfolk & Norwich University Hospital, Norfolk, UK
  2. 2Department of Radiology, Norfolk & Norwich University Hospital, Norfolk, UK
  1. Correspondence to Dr A Ryding, Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane Norwich, NR47UY UK; alisdair.ryding{at}nnuh.nhs.uk

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A 67-year-old cachectic patient presented with a 6-week history of increasing breathlessness, loss of weight and appetite. Examination showed peripheral oedema and signs of cardiac tamponade. Transthoracic echocardiography demonstrated a thick walled cystic mass in the anterior pericardium (see online supplementary video 1), compressing the right ventricle (RV) and right atrium (RA). Further evaluation, including bubble contrast echocardiography, suggested a haematogenous connection between the RA and tumour cavity (see online supplementary video 2). This was confirmed on a contrast enhanced CT scan, with late contrast …

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