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Farouk Mookadam
Public Documents
2
Cardiorrhexis due to primary angiosarcoma of the heart
Sowjanya Yenigalla
and 3 more
June 12, 2023
38 year old young female presented with a two-week history of dyspnoea and general malaise without any other clinical signs of malignancy. Two-dimensional Echocardiogram showed findings suspicious for a right atrial mass. Transoesophageal echocardiogram showed rupture of the right atrial free wall with a pseudoaneurysm and mass that has also infiltrated the right ventricle. Histopathology of the biopsied specimens confirmed the diagnosis of cardiac angiosarcoma. Given its rapid growth, nonspecific symptoms and late presentation to the hospital, diagnosis is often delayed. Early diagnosis is key as these patients can be referred to surgery sooner than later due to rapid progression of the mass and poor survival rates. Unfortunately, our patient had brain and lung metastases and local tissue destruction by the time she presented to the hospital. Echocardiography plays a crucial role as a readily available imaging technique to help locate the tumour and define its extent.
Multiple Symptomatic Giant Coronary Aneurysms
Damir Vukomanovic
and 3 more
February 22, 2022
We present a rare case of symptomatic giant coronary artery aneurysms due to Kawasaki disease in an elderly patient. Giant coronary aneurysms are uncommon; even more is their association with ischemic symptoms and left coronary system involvement. Treatment can be challenging, and we discuss the management taken in this case.