De-Differentiated Myxofibrosarcoma Metastasis in the Right Atrium: An Invasive But Diagnostic Approach

Sarah Verhemel; Majd Protty; Inez Rodrigus; Bernard Paelinck; Marc Claeys

doi:10.1016/j.jaccas.2019.06.021

De-Differentiated Myxofibrosarcoma Metastasis in the Right Atrium: An Invasive But Diagnostic Approach

JACC Case Rep. 2019 Aug 21;1(2):151-155. doi: 10.1016/j.jaccas.2019.06.021. eCollection 2019 Aug.

Authors

Sarah Verhemel¹, Majd Protty², Inez Rodrigus³, Bernard Paelinck⁴, Marc Claeys⁴

Affiliations

¹ Department of Cardiology, University Hospital Antwerp, Antwerp, Belgium.
² Systems Immunity University Research Institute, Cardiff University, Heath Park, Cardiff, Wales, United Kingdom.
³ Department of Cardiothoracic Surgery, University Hospital of Antwerp, Antwerp, Belgium.
⁴ Department of Cardiology, University Hospital of Antwerp, Antwerp, Belgium.

Abstract

Solitary cardiac metastasis remains an uncommon diagnosis. Herein, the authors report describes a rare case of a 53-year-old woman with cardiac metastasis of a peripheral de-differentiated myxofibrosarcoma. This case demonstrates the complexity of pairing multimodality imaging and invasive techniques to achieve tissue characterization and diagnosis. (Level of Difficulty: Beginner.).

Keywords: CMR, cardiac magnetic resonance imaging; FDG, fluorodeoxyglucose; MDT, multidisciplinary team; NYHA, New York Heart Association; PET-CT, positron emission tomography–computed tomography scan; SVC, superior vena cava; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; acute heart failure; cancer; cardiac magnetic resonance; computed tomography; echocardiography; imaging; pericardial effusion; positron emission tomography; shortness of breath; tamponade.

Publication types

Case Reports