AUTHOR=Blindaru Andreea , Vasilescu Alexandru , Danet Andrei , Zimnicaru Oana , Cristu Maximilian , Tudorica Stefan , Borjog Tudor , Patrascu Oana , Badiu Catalin Constantin 

TITLE=Surgical resection of a giant cardiac angiosarcoma and reconstruction of involved right heart structures: A case report

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 10 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1115962

DOI=10.3389/fcvm.2023.1115962

ISSN=2297-055X

ABSTRACT=We present the case of a young woman, without medical history who presented with a giant right atrial, transtricuspidian and right ventricular mass and in a severe clinical state. Multimodal imaging raised the suspicion of primary cardiac angiosarcoma. Due to rapid hemodynamic and respiratory deterioration, we were forced to perform surgical removal of the mass with concomitant reconstruction of the involved right heart structures, only 48 hours after presentation. The postoperative course was uneventful and the patient was discharged from the intensive care unit two days later. Radical surgical resection with reconstruction of the resected heart structures was the only possible salvage option for giant angiosarcoma which was leading to hemodynamical instability. Followed by chemotherapy this radical approach may prolong survival.