Pericarditis is not always the same

Czech version

Authors: J. Havelková; Lajos Gergely
Authors‘ workplace: Interní oddělení, Nemocnice Písek, a. s.
Published in: Kardiol Rev Int Med 2015, 17(1): 37-40
Category: Cardiology Review

Overview

The presented case study presents the diagnostic methods used in a 42‑year‑ old patient with atypical course of exudative pericarditis. The definitive diagnosis is angiosarcoma of the heart. Angiosarcoma of the heart is a rare malignant tumor that most often affects the right atrium. The treatment of angiosarcomas is surgical. The prognosis of heart sarcomas is poor.

Keywords:
acute pericarditis – angiosarcoma – echocardiography

Sources

1. Maisch B, Seferovič PM, Ristič AD et al. ESC Guidelines. Guidelines on the diagnosis and management of pericardial diseases. Eur Heart J 2004; 25: 587– 610.

2. Vaporciyan A, Reardon MJ. Right heart sarcomas. Methodist Debakey Cardiovasc J 2010; 6: 44– 48.

3. Burke A, Jeudy J, Virmani R. Cardiac tumours: An update. Heart 2008; 94: 117– 123.

4. Shapiro L. Cardiac tumours: diagnosis and management. Heart 2001; 85: 218– 222.

5. Vander Salm TJ. Unusual primary tumors of the heart. Semin Thorac Cardiovasc Surg 2000; 12: 89– 100.

6. Šteiner I. Kardiopatologie pro patology i kardiology. Praha: Galén 2010: 116– 118.

7. Mladosievičová B et al. Kardionkologie. Praha: Grada Publishing 2014: 175– 178.

8. Adam Z, Vorlíček J, Vaníček J et al. Diagnostické a léčebné postupy u maligních chorob. Praha: Grada Publishing 2012: 331.

9. Mašek M, Vaněčková M, Burgetová A et al. Angiosarkom pravé síně. Cesk Radiol 2010; 64: 226– 229.

10. Handl L, Hromádka M, Hájek T et al. Angiosarkom pravé síně. Cor Vasa 2011; 53: 722– 725.

11. Kakizaki S, Takagi H, Hosaka Y. Cardiac anoagisarcoma responding to multidisciplinary treatment. Int J Cardiol 1997; 62: 273– 275.

12. Peters PJ, Reinhardt S. The echocardiographic evaluation of intracardiac masses: a review. J Am Soc Echocardiogr 2006; 19: 230– 240.

13. Paleček T, Němeček E, Fikrle M et al. Echokardiografie konstriktivní perikarditidy. Postgraduální medicína. 2012; 14, příloha 1/ 2012: 26– 29.

14. Ostrowski S, Macinkewicz A, Kosmider A et al. Sarcomas of the heart as a difficult interdisciplinary problem. Arch Med Sci 2014; 10: 135– 148. doi: 10.5114/ aoms.2014.40741.

15. Leja MJ, Shah DJ, Reardon MJ. Primary cardiac tumors. Tex Heart Inst J 2011; 38: 261– 262.