Cardiac myxofibrosarcoma under the guise of infective endocarditis: case report
https://doi.org/10.24835/1607-0771-2021-1-42-49
Abstract
The article presents a case report of cardiac myxofibrosarcoma in a 30-year-old patient, mimics the infective endocarditis, diagnosed with transthoracic echocardiography, cardiac MRI, and intraoperative transesophageal echocardiography. There was no data for metastasis in abdominal CE-CT. Left atrium upper wall tumor was surgically removed, but small unresectable residual tumor foci were left. The tumor was 6.0 × 4.0 × 3.5 cm in size with the 1.5 cm pedicle. Histological examination revealed a cardiac myxofibrosarcoma. The patient was moved from the cardiac surgery to oncological hospital for chemotherapy. Despite the treatment, the patient died in 11 months.
About the Authors
I. I. Chernov
Federal Center for Cardiovascular Surgery
Russian Federation
Russian Federation
S. T. Enginoev
Federal Center for Cardiovascular Surgery; Astrakhan State Medical University
Russian Federation
Russian Federation
E. V. Demina
Federal Center for Cardiovascular Surgery
Russian Federation
Russian Federation
V. V. Demeckaya
Federal Center for Cardiovascular Surgery
Russian Federation
Russian Federation
E. V. Nikolaeva
Federal Center for Cardiovascular Surgery
Russian Federation
Russian Federation
D. G. Tarasov
Federal Center for Cardiovascular Surgery
Russian Federation
Russian Federation
References
1. Lam K.Y., Dickens P., Chan A.C. Tumors of the heart. A 20-year experience with a review of 12,485 consecutive autopsies. Arch. Pathol. Lab. Med. 1993; 117 (10): 1027-1031.
2. Reynen K. Frequency of primary tumors of the heart. Am. J. Cardiol. 1996; 77 (1): 107. https:// doi.org/10.1016/s0002-9149(97)89149-7
3. Piazza N., Chughtai T., Toledano K., Sampalis J., Liao C., Morin J.F. Primary cardiac tumours: eighteen years of surgical experience on 21 patients. Can. J. Cardiol. 2004; 20 (14): 1443-1448.
4. Araoz P.A., Mulvagh S.L., Tazelaar H.D., Julsrud P.R., Breen J.F. CT and MR imaging of benign primary cardiac neoplasms with echocardiographic correlation. Radiographics. 2000; 20 (5): 1303-1319. https://doi.org/10.1148/radiographics.20.5. g00se121303
5. Tatli S., Lipton M.J. CT for intracardiac thrombi and tumors. Int. J. Cardiovasc. Imaging. 2005; 21 (1): 115-131. https://doi.org/10.1007/s10554-004-5342-x
6. Roberts W.C. Primary and secondary neoplasms of the heart. Am. J. Cardiol. 1997; 80 (5): 671-682. https://doi.org/10.1016/s0002-9149(97)00587-0
7. Paraskevaidis I.A., Michalakeas C.A., Papadopoulos C.H., Anastasiou-Nana M. Cardiac tumors. ISRN Oncol. 2011; 2011: 208929. https://doi.org/10.5402/2011/208929
8. Dujardin K.S., Click R.L., Oh J.K. The role of intraoperative transesophageal echocardiography in patients undergoing cardiac mass removal. J. Am. Soc. Echocardiogr. 2000; 13 (12): 1080-1083. https://doi.org/10.1067/mje.2000.107157
9. Fussen S., De Boeck B.W., Zellweger M.J., Bremerich J., Goetschalckx K., Zuber M., Buser P.T. Cardiovascular magnetic resonance imaging for diagnosis and clinical management of suspected cardiac masses and tumours. Eur. Heart J. 2011; 32 (12): 1551-1560. https://doi.org/10.1093/eurheartj/ehr104
10. Rahbar K., Seifarth H., Schafers M., Stegger L., Hoffmeier A., Spieker T., Tiemann K., Maintz D., Scheld H.H., Schober O., Weckesser M. Differentiation of malignant and benign cardiac tumors using 18F-FDG PET/CT. J. Nucl. Med. 2012; 53 (6): 856863. https://doi.org/10.2967/jnumed.111.095364
11. Burke A. Primary malignant cardiac tumors. Semin. Diagn. Pathol. 2008; 25 (1): 39-46. https://doi.org/10.1053/j.semdp.2007.10.006
12. Simpson L., Kumar S.K., Okuno S.H., Schaff H.V., Porrata L.F., Buckner J.C., Moynihan T.J. Malignant primary cardiac tumors: review of a single institution experience. Cancer. 2008; 112 (11): 2440-2446. https://doi.org/10.1002/cncr.23459
13. Siontis B.L., Zhao L., Leja M., McHugh J.B., Shango M.M., Baker L.H., Schuetze S.M., Chugh R. Primary cardiac sarcoma: a rare, aggressive malignancy with a high propensity for brain metastases. Sarcoma. 2019; 2019: 1960593. https://doi.org/10.1155/2019/1960593
14. Sun D., Wu Y., Liu Y., Yang J. Primary cardiac myxofibrosarcoma: case report, literature review and pooled analysis. BMC Cancer. 2018; 18 (1): 512. https://doi.org/10.1186/s12885-018-4434-2
15. Kim J.T., Baek W.K., Kim K.H., Yoon Y.H., Kim D.H., Lim H.K. A primary cardiac sarcoma preoperatively presented as a benign left atrial myxoma. Yonsei Med. J. 2003; 44 (3): 530-533. https://doi.org/10.3349/ymj.2003.44.3.530
16. Niclauss L., Montemurro M., Kirsch M., Pretre R. Sarcoma of the heart: survival after surgery. Interact. Cardiovasc. Thorac. Surg. 2018; 27 (2): 198-201. https://doi.org/10.1093/icvts/ivy045
17. Grebenc M.L., Rosado de Christenson M.L., Burke A.P., Green C.E., Galvin J.R. Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation. Radiographics. 2000; 20 (4): 1073-1103. https://doi.org/10.1148/radiographics.20.4.g00jl081073
Review
For citations:
Chernov I.I., Enginoev S.T., Demina E.V., Demeckaya V.V., Nikolaeva E.V., Tarasov D.G. Cardiac myxofibrosarcoma under the guise of infective endocarditis: case report. Ultrasound & Functional Diagnostics. 2021;(1):42-49. (In Russ.) https://doi.org/10.24835/1607-0771-2021-1-42-49
Views:
92
Email this article 