Cardiovascular disease:

Primary Cardiac Sarcoma

School of Science and Technology
Nazarbayev University

Luiza Niyazmetova, 201049408

October 19, 2011
Outline
Medical History
Family & Social History
Physical Exam
Radiological Exam
Conclusion/Diagnose & Treatment
References
Medical History
Chief complaint: “I have a chest pain”
Medical History: “Agatha McMaster, 40 years old,
was brought to the Emergency department with a
chest pain, shortness of breath (dyspnea) and fever.”
Present illness: She had the swelling of feet and legs,
dyspnea and chest from time to time during last 2
months.
Past History: She did not have surgeries or any severe
illnesses before. She does not take any specific
medicines permanently. She has an allergy to tobacco
smoke and alcohol.
Family & Social History
Family History: Her mother died from myocardial
infarction at age 60, no information about father is
available.
Social History: She is married, has two sons of 20 &
18 years old. Agatha is a system administrator. She does
not usually do physical exercises and work with
computers about 12 hours per day.
She does not smoke, does not drink, does not take
drugs
Physical Exam
Vital Signs: blood pressure 140/90, temperature 38.70C
Inspection: The patient is underweight, and have
normal body symmetry. She has a pale skin color and
looks exhausted
Palpation: There is a swelling in legs and abdomen,
also she has a distension of neck veins
Auscultation: The heart sounds are irregular and
mostly fast
Radiological Exam
Electrocardiogram (EKG): arrhythmia detected
Echocardiogram (Echo): in the right atrium a tumor
was detected
Magnetic resonance imaging (MRI): the location of
tumor was confirmed, the size of tumor 3.5 x 4.1 cm
Conclusion
Diagnose: Benign primary Angiosarcoma of the right
atrium (noncancerous original cardiac tumor)
Treatment: Surgical excision, no medications
needed, but echocardiography was done several times
per year,
There are 2 years past since surgery had been done.
The patient have regular medical examination three
times per year, and the work of the heart was
improved, growth of tumor has not been detected.
 References
Cardiac sarcoma. (2011). Retrieved from
http://stanfordhospital.org/healthLib/greystone/heartCenter/heartConditions
inAdults/cardiacSarcoma.html
Devbhandari, M.P., Meraj, S., Jones, M.T., Kadir, I. & Bridgewater, B. (2007).
Primary cardiac sarcoma: reports of two cases and a review of current
literature. Journal of Cardiothoracic Surgery. 2(34), doi:10.1186/1749-8090-2-34.
Retrieved from http://www.cardiothoracicsurgery.org/content/2/1/34
Pericardial sarcoma arising from ascending aortai. Image. (2011). Retrieved from
http://www.ispub.com/journal/the-internet-journal-of-surgery/volume-19-
number-2/large-intra-pericardial-sarcoma-arising-from-ascending-aorta-a-
case-report.article-g02.fs.jpg
What is cardiac sarcoma? (2011). Retrieved from
http://www.massey.vcu.edu/types-of-cancer-what-is-cardiac-sarcoma.htm