Cardiac angiosarcoma

Cardiac angiosarcoma is a rare and aggressive primary cardiac tumour. This image focus highlights a case involving a 46-year-old patient presenting with syncope and significant pericardial effusion, ultimately diagnosed as cardiac angiosarcoma (Figures 1-3) and anatomopathology (Figure 4). The patient was admitted with syncope, persistent chest pain, and dyspnoea (NYHA class III). Notable medical history included stable sarcoidosis. Cardiac angiosarcomas should be considered in patients with unexplained cardiac masses and systemic symptoms. This case illustrates the critical role of advanced imaging and histopathological confirmation in diagnosing and managing this aggressive malignancy. This case underscores the importance of a comprehensive diagnostic approach, integrating imaging and histopathology, in managing cardiac angiosarcomas. Early recognition and a multidisciplinary treatment strategy are essential for improving patient outcomes. 1. Thoracic angio-CT scan (Figure 1). 2. Transesophageal echocardiography (TEE) (Figure 2) 3. PET-CT Scan (Figure 3) 4. Histopathological confirmation (Figure 4)