PT - JOURNAL ARTICLE AU - Atul Vijay Palkar AU - Ankit Gupta AU - Yonatan Greenstein AU - Eric Gottesman TI - Primary cardiac angiosarcoma: a rare cause of diffuse alveolar haemorrhage AID - 10.1136/bcr-2018-225365 DP - 2018 Jun 01 TA - BMJ Case Reports PG - bcr-2018-225365 VI - 2018 4099 - http://casereports.bmj.com/content/2018/bcr-2018-225365.short 4100 - http://casereports.bmj.com/content/2018/bcr-2018-225365.full AB - Primary cardiac angiosarcoma is a rare disease with a dismal prognosis. We report a case of a 50-year-old man who presented with haemoptysis, cough and worsening dyspnoea. An intracardiac mass was visualised on echocardiogram. He was treated for diffuse alveolar haemorrhage and acute respiratory distress syndrome but died from refractory hypoxaemic respiratory failure leading to cardiac arrest. The diagnosis of primary cardiac angiosarcoma with haemorrhagic pulmonary metastases leading to diffuse alveolar damage was confirmed on autopsy.