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Uncommon cause of cardiac tamponade in a young man
  1. Ananthu Narayan1,
  2. Vineeta Ojha2,
  3. Sudheer Arava3 and
  4. Animesh Ray1
  1. 1Department of Internal Medicine, All India Institute of Medical Sciences, New Delhi, India
  2. 2Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India
  3. 3Pathology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Animesh Ray; doctoranimeshray{at}gmail.com

Abstract

We report a rare case of cardiac angiosarcoma in a young boy who presented with cardiac tamponade. His initial symptoms were non-specific. He was initially being managed in the line of fungal infection, with a possibility of malignancy. Cardiac imaging was also not conclusive and he worsened on antibiotics and antifungals and succumbed to the illness. After his death tissue biopsy from heart and lung was done and histopathological examination revealed the diagnosis of metastatic angiosarcoma. The case highlights the importance of considering the diagnosis of cardiac angiosarcoma in the patients presenting with haemorrhagic pericardial effusion and non-specific symptoms.

  • pericardial disease
  • pathology

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Footnotes

  • Contributors AN and AR were actively involved in the clinical management of the case, VO assisted in getting the imaging investigations and reporting of images with clinical correlation. SA was involved in the pathlogical examination of the specimen. AR came up with idea of reporting the case. AN complied the clinical data, VO and SA did the radiology and pathology part, respectively. AN and AR did the literature search. AR gave the guidance throughout and did necessary additions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.