Pérez DJA, Bao NCR, Leblanch PL, Cervantes CLF, Pérez OA, Rodríguez PMM

Language: Spanish
References: 8
Page: 376-380
PDF size: 256.29 Kb.

ABSTRACT

Cardiac tumors can cause syncope, heart failure, embolic events, and death. A high index of suspicion is required due to the clinical similarity with other systemic diseases. Here is described the case of a 26-year-old woman who began with respiratory distress, cough, hemoptoic expectoration, low blood pressure and manifestations of heart failure predominantly on the right. The echocardiography showed a tumor mass in the right atrium and multiple images of thrombi at the level of the pulmonary artery trunk, with signs of right ventricular dysfunction and severe pulmonary hypertension. She underwent surgery, but the tumor was unresectable, as it infiltrated the pericardium and the inferior vena cava. The patient died one day after surgery. The histological study confirmed that the tumor was a neurofibrosarcoma.

REFERENCES

1. Gándara Ricardo J, Muñoz Ortiz E, Arévalo Guerrero E, Mejía Vélez A, Agamez Gómez J, Sénior JM. Masas cardiacas: registro de la experiencia en un centro de alta complejidad. Rev Colomb Cardiol. 2019;26(1):3-9. DOI: https://doi.org/10.1016/j.rccar.2018.04.001

2. Estévez Álvarez N, Rodríguez Rodríguez V, Paredes Cordero AM, Mojena Morfa G, Pérez López H, Taín Blázquez J, et al. Tumores cardiacos primarios. Generalidades y particularidades clínicas. Rev Cuban Cardiol [Internet]. 2014 [citado 15 Jul 2020];20(3):193-201. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/539/pdf_2

3. Murinello A. Angiosarcoma cardíaco: Una neoplasia rara y de difícil diagnóstico. Salud(i)Ciencia. 2014;20(4):394-8.

4. Bastidas-Cuéllar ML, Vallejo Mondragón E, Valencia Salazar A, Madrid A. Tumor intracardiaco en paciente adolescente. Rev Colomb Cardiol. 2017;24(3):301-6. DOI: http://dx.doi.org/10.1016/j.rccar.2016.06.011

5. Jiménez-Fernández CA, Bautista-González S, Guzmán-Chávez OR, García Negrete E, Ramírez Cedillo D, López-Taylor JG. Schwannoma maligno de aurícula izquierda. Reporte de un caso. Rev Med MD. 2012;3(4):222-5.

6. Díaz Garriga RE, Martínez González LR, Pérez Rodríguez D, Pérez C. Tumores cardíacos primarios. Rev Cienc Méd Pinar Río [Internet]. 2013 [citado 19 Jul 2020];17(5):196-206. Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/1390/pdf

7. Cubides CA, Salazar G, Muñoz A, Pedraza J, Hernández E, Martínez J, et al. Tumores cardíacos primarios Rev Colomb Cardiol. 2003;10(8):472-85.

8. Merchán Rodríguez R, Cacabelos Pérez P, Delgado C, Alañá García M. Neurofibrosarcoma con metástasis pulmonares en paciente con neurofibromatosis tipo I. An Med Interna (Madrid). 2008;25(3):152-3.