Work

From Lung to Heart

Year: 2024

Type: article

Abstract: A 77-year-old man with multiple comorbidities presented with cough, dyspnea and nonspecific malaise. Chest computed tomography revealed a mass in the right lower lobe of the lung, along with an associated hypodense lesion in the left atrium. Echocardiography showed a mobile mass in the left atrium, initially suspected to be a thrombus. Transesophageal echocardiography and contrast-enhanced computed tomography demonstrated a 7.5 × 4 × 5-cm tumor originating from the right inferior pulmonary vein, extending into the left atrium and ventricle, causing severe mitral stenosis. Lung biopsy confirmed primary pulmonary myxoid sarcoma. This rare case highlights the importance of comprehensive cardiac imaging in differentiating intracardiac masses and the challenges in diagnosing uncommon malignancies with atypical presentations.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2024.102919

Authors: Norma Nicole Gamarra-Valverde, Fernando Untiveros-Mayorga, Jose Somocurcio-Peralta, Sebastian Reyes-Villanes, Javier Torres-Valencia

Institutions: Universidad Peruana Cayetano Heredia, Hospital Nacional Edgardo Rebagliati Martins

Language: English

Topic: Cardiac tumors and thrombi

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850