Primary Right Atrial Sarcoma Presenting With Cardiac Tamponade and Massive Pleural Effusion



Ahmadi SH¹ ; Momtahen S¹ ; Ensani F² ; Alikhasi A³ ; Sadighi S⁴ ; Samiee F⁵ ; Sedighi Z⁶ ; Mohagheghi MA⁴
Source: Middle East Journal of Cancer Published:2016

Abstract

Primary cardiac sarcomas are very rare and there is no consensus on management. Clinical presentation is usually late. Despite newer diagnostic technology, prognosis remains dismal. We report a case of right atrial sarcoma in a 28-year-old man who presented with acute cardiac tamponade. Emergency subxiphoid pericardial drainage stabilized the patient's critical condition. The lesion was advanced. Therefore, we only performed a suboptimal surgical resection. Despite planning for radiation, the patient's status deteriorated. Only palliative measures continued during the next four months before his death due to disseminated metastasis and progressive cardiopulmonary failure. © 2016, Shiraz University of Medical Sciences. All rights reserved.