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Perigraft hygroma mimicking recurrent angiosarcoma of the right atrium

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Abstract

Primary cardiac angiosarcoma is extremely rare, has a poor prognosis and has no specific clinical manifestation. A 31-year-old pregnant woman presented to the emergency department with signs of pericardial tamponade. Transesophageal echocardiography (TEE) showed a mass within her right atrium. Extensive surgical resection was performed with subsequent pericardial patch reconstruction of the right atrium. Histological examination showed the presence of an angiosarcoma. A reoperation was performed 18 months after the initial operation, because of concerns of radicality. Three years later she was re-admitted with a superior caval vein syndrome. A stent was placed to relieve symptoms. Because of the suspicion of a recurrent tumor, a second reoperation followed. During this operation, a perigraft hygroma was found pressing against the previously reconstructed superior caval vein. Histological examination after both reoperations showed no signs of a recurrent angiosarcoma. Until today, 8 years after her first surgery, the patient is still alive without any signs of recurrent tumor.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands

    Kinsing Ko, Jort Evers, Tim Smith, Wim J. Morshuis & Guillaume S. C. Geuzebroek

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  1. Kinsing Ko
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  2. Jort Evers
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  3. Tim Smith
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  4. Wim J. Morshuis
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  5. Guillaume S. C. Geuzebroek
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Correspondence to Kinsing Ko.

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Ko, K., Evers, J., Smith, T. et al. Perigraft hygroma mimicking recurrent angiosarcoma of the right atrium. Gen Thorac Cardiovasc Surg 70, 184–189 (2022). https://doi.org/10.1007/s11748-021-01737-8

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  • DOI: https://doi.org/10.1007/s11748-021-01737-8

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