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Primary left atrial angiosarcoma mimicking severe mitral valve stenosis
  1. M Engelen1,
  2. C Bruch1,
  3. A Hoffmeier2,
  4. C Kersting3,
  5. J Stypmann1
  1. 1Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany
  2. 2Department of Thoracic and Cardiovascular Surgery, Hospital of the University of Münster, Münster, Germany
  3. 3Institute of Pathology, Hospital of the University of Münster, Münster, Germany
  1. Correspondence to:
    PD Dr med Christian Bruch
    Department of Cardiology and Angiology, Hospital of the University of Münster, Albert-Schweitzer-Strasse 33, D-48149 Münster, Germany; bruchcuni-muenster.de

Abstract

Primary cardiac tumours are quite rare and most of these tumours are benign. In this report, a patient presented with heart failure symptoms attributable to severe mitral valve stenosis. Echocardiography showed a dense left atrial mass causing functional mitral valve obstruction. The morphological and intraoperative presentation was highly suggestive of a myxoma but histopathological examination found a primary pedunculated cardiac angiosarcoma. The role of two dimensional and transoesophageal echocardiography in the assessment of cardiac masses and tumours is discussed.

  • angiosarcoma
  • left atrium
  • transoesophageal echocardiography
  • Doppler echocardiography
  • functional mitral stenosis
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