2012BMJ Case ReportsOpen access

Pleomorphic high-grade sarcoma of the heart mimicking cardiac myxoma: Figure 1

Benjamin Etschmann, Gabriele A. Krombach, Andreas Böning, Stefan Gattenlöhner

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Abstract

A 22-year-old male patient with no significant previous medical history presented with fatigue, dyspnoea, palpitations and signs of upper inflow tract congestion. Echocardiography (figure 1a) and CT revealed a mass of 4×6 cm (*) in the left atrium which prolapsed into the left ventricle during diastole and displayed radiological and ultrasonographic traits of an atrial myxoma (sharp borders, pedunculated appearance, mobility during cardiac cycle, localisation in left atrium, lack of detectable infiltration into cardiac/pericardiac structures). Histopathological examination of the surgically excised mass revealed a myxoid …

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A 22-year-old male patient with no significant previous medical history presented with fatigue, dyspnoea, palpitations and signs of upper inflow tract congestion. Echocardiography (figure 1a) and CT revealed a mass of 4×6 cm (*) in the left atrium which prolapsed into the left ventricle during diastole and displayed radiological and ultrasonographic traits of an atrial myxoma (sharp borders, pedunculated appearance, mobility during cardiac cycle, localisation in left atrium, lack of detectable infiltration into cardiac/pericardiac structures). Histopathological examination of the surgically excised mass revealed a myxoid …

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Available abstract

A 22-year-old male patient with no significant previous medical history presented with fatigue, dyspnoea, palpitations and signs of upper inflow tract congestion. Echocardiography (figure 1a) and CT revealed a mass of 4×6 cm (*) in the left atrium which prolapsed into the left ventricle during diastole and displayed radiological and ultrasonographic traits of an atrial myxoma (sharp borders, pedunculated appearance, mobility during cardiac cycle, localisation in left atrium, lack of detectable infiltration into cardiac/pericardiac structures). Histopathological examination of the surgically excised mass revealed a myxoid …

Key concepts: Medicine, Myxoma, Heart neoplasms, Sarcoma, Cardiac Tumors, Undifferentiated Pleomorphic Sarcoma, Cardiology, Internal medicine

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