1
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Khan R, Sunthankar KI, Yasinzai AQK, Tareen B, Zarak MS, Khan J, Nasir H, Nakasaki M, Jahangir E, Heneidi S, Ullah A. Primary cardiac sarcoma: demographics, genomic study correlation, and survival benefits of surgery with adjuvant therapy in U.S. population. Clin Res Cardiol 2024; 113:694-705. [PMID: 37246988 DOI: 10.1007/s00392-023-02236-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 05/17/2023] [Indexed: 05/30/2023]
Abstract
BACKGROUND Cardiac sarcomas are rare and aggressive tumors with little known about the demographics, genetics, or treatment outcomes. OBJECTIVES The objectives of this study were to characterize the demographics, treatment modality, and survival associated with cardiac sarcomas and evaluate the potential for mutation-directed therapies. METHODS All cases from 2000 to 2018 of cardiac sarcoma were extracted from the SEER database. Genomic comparison utilized The Cancer Genome Atlas (TCGA) database, as well as reviews and re-analysis of past applicable genomic studies. RESULTS Cardiac sarcomas occurred most often in White patients, compared with national census data cardiac sarcomas occurred at a significantly higher rate in Asians. The majority of cases were undifferentiated (61.7%) and without distant metastases (71%). Surgery was the most common primary treatment modality and offered survival benefit (HR 0.391 (p = 0.001) that was most pronounced and sustained as compared to patients who received chemotherapy (HR 0.423 (p = 0.001) or radiation (HR 0.826 (p = 0.241) monotherapy. There was no difference in survival when stratified by race or sex; however, younger patients (< 50) had better survival. Genomics data on histologically undifferentiated cardiac sarcomas revealed a significant number were likely poorly differentiated pulmonary intimal sarcomas and angiosarcomas. CONCLUSIONS Cardiac sarcoma is a rare disease with surgery continuing to be a cornerstone of therapy followed by traditional chemotherapy. Case studies have indicated the potential for therapies directed to specific genetic aberrations to improve survival for these patients and utilization of next-generation sequencing (NGS) will help improve both classification and these therapies for cardiac sarcoma patients.
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Affiliation(s)
- Rozi Khan
- Department of Medicine, Medical University of South Carolina, Florence, SC, USA
| | - Kathryn I Sunthankar
- Division of Cardiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
| | | | | | | | - Jaffar Khan
- Department of Pathology, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Hassan Nasir
- St. George's University, School of Medicine, University Centre Grenada, West Indies, Grenada
| | - Manando Nakasaki
- Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Eiman Jahangir
- Division of Cardiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Saleh Heneidi
- Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Asad Ullah
- Department of Pathology, Vanderbilt University Medical Center, Nashville, TN, USA
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2
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Soltani S, Garousi M, Mirzaee E, Koolaji S, Nazari H, Emami S, Zare Mehrjardi A, Arefpour AM. A rare presentation of primary cardiac myxofibrosarcoma: Case report and literature review. Cancer Rep (Hoboken) 2024; 7:e2033. [PMID: 38600050 PMCID: PMC11006601 DOI: 10.1002/cnr2.2033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 02/06/2024] [Accepted: 02/26/2024] [Indexed: 04/12/2024] Open
Abstract
BACKGROUND Primary cardiac myxofibrosarcoma is a rare and aggressive malignancy, with the majority of approaching strategies relying on case reports. This article provides insights into its diagnosis and treatment. CASE PRESENTATION This paper presents the case of a 40-year-old man with sudden onset hemoptysis, leading to the diagnosis of primary cardiac myxofibrosarcoma. Treatment involved open-heart surgery to excise the left atrium tumor, followed by 6 cycles of adjuvant chemotherapy. Unfortunately, brain metastasis developed, leading to the patient's death 1 year after initial diagnosis. CONCLUSION Primary cardiac myxofibrosarcoma remains a clinical challenge with an unfavorable prognosis. Early diagnosis through advanced imaging is crucial, and research is needed to explore innovative treatments. This case underscores the complexities of managing this rare cardiac malignancy and highlights the necessity for ongoing investigations to enhance patient outcomes.
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Affiliation(s)
- Sepideh Soltani
- Department of Radiation Oncology, School of MedicineIran University of Medical SciencesTehranIran
| | - Maryam Garousi
- Department of Radiation Oncology, School of MedicineIran University of Medical SciencesTehranIran
| | - Elahe Mirzaee
- Department of Radiation Oncology, School of MedicineIran University of Medical SciencesTehranIran
| | - Sogol Koolaji
- Non‐communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences InstituteTehran University of Medical SciencesTehranIran
| | - Hengameh Nazari
- Department of RadiologyIsfahan University of Medical SciencesIsfahanIran
| | - Sepideh Emami
- Department of Cardiology, Firoozgar Hospital, School of MedicineIran University of Medical SciencesTehranIran
| | - Ali Zare Mehrjardi
- Department of Pathology, Firoozgar HospitalIran University of Medical SciencesTehranIran
| | - Amir Mohammad Arefpour
- Department of Radiation Oncology, School of MedicineIran University of Medical SciencesTehranIran
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3
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Martinho M, Machado B, Cruz I, Fernandes I, Pereira H. The challenging approach of a young patient with a primary intimal sarcoma of the heart: a case report. Eur Heart J Case Rep 2024; 8:ytae071. [PMID: 38374987 PMCID: PMC10875919 DOI: 10.1093/ehjcr/ytae071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 10/14/2023] [Accepted: 01/31/2024] [Indexed: 02/21/2024]
Abstract
Background Primary intimal sarcomas of the heart are extremely rare and have a dismal prognosis. Their management represents a complex clinical challenge since complete surgical resection is the only reliable possibility of cure but is only possible in 50% of patients. In non-resectable disease, anthracycline-based therapy is the most effective treatment, but pazopanib may be used in patients unfit to receive anthracyclines. Case summary A 38-year-old man presented with acute right heart failure symptoms due to a primary intimal sarcoma of the heart. A definite diagnosis was made after cardiac surgery. Multi-modality cardiac imaging showed early recurrence of disease with mitral valve and pulmonary veins' invasion, and the patient was deemed inoperable. Due to chronic kidney disease and previous heart failure symptoms, he was started on first-line pazopanib palliative treatment. After 11 months of chemotherapy, there was good clinical tolerance and no evidence of disease progression, which occurred after 13 months. Discussion This case highlights the value of a multi-modality imaging approach for cardiac masses. Most importantly, it reports the successful treatment of a young patient with a primary intimal sarcoma of the heart who was started on palliative pazopanib, with a significantly higher progression-free survival than is reported in the literature. This finding may support pazopanib as a good alternative as first-line treatment when there is contraindication for anthracycline-based chemotherapy.
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Affiliation(s)
- Mariana Martinho
- Serviço de Cardiologia, Hospital Garcia de Orta, Avenida Torrado da Silva, Almada 2805-267, Portugal
| | - Bárbara Machado
- Serviço de Oncologia Médica, Centro Hospitalar Entre-Douro e Vouga, Santa Maria da Feira, Portugal
| | - Inês Cruz
- Serviço de Cardiologia, Hospital Garcia de Orta, Avenida Torrado da Silva, Almada 2805-267, Portugal
| | - Isabel Fernandes
- Serviço de Oncologia Médica, Hospital CUF Descobertas, Lisboa, Portugal
- Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - Hélder Pereira
- Serviço de Cardiologia, Hospital Garcia de Orta, Avenida Torrado da Silva, Almada 2805-267, Portugal
- Centro Cardiovascular da Universidade de Lisboa, Centro Académico Médico de Lisboa, Universidade de Lisboa, Lisboa, Portugal
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4
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Mulisa MD, Bekele SK, Woldemichael SB, Gaito SG, Abrar FN, Hailu BG. Primary Cardiac Sarcoma, Diagnostic and Therapeutic Challenges in Resource Limited Setting: Case Report. Int Med Case Rep J 2024; 17:57-61. [PMID: 38293614 PMCID: PMC10825581 DOI: 10.2147/imcrj.s436528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 01/16/2024] [Indexed: 02/01/2024] Open
Abstract
Left atrial masses are commonly caused by atrial myxomas and metastatic tumors. Primary cardiac sarcomas are rare. Patients present with symptoms related to the tumor location. There are only a few case reports on this rare disease. We report the case of a 17 years old male patient presented with shortness of breath for 2-month duration. Echocardiography revealed a left atrial mass that was later surgically excised and histopathology confirmed a primary cardiac sarcoma. We discuss the diagnostic and therapeutic challenges encountered in the management of this rare disease. To the best of our knowledge, this is the first case reported in East Africa.
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Affiliation(s)
- Merga Daba Mulisa
- Department of Internal Medicine, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Shalom Kassahun Bekele
- Department of Internal Medicine, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | | | | | - Fadil Nuredin Abrar
- Department of Pathology, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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5
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Appiah D, Goodart CR, Kothari GK, Ebong IA, Nwabuo CC. Reduced Risk of All-Cause, Cancer-, and Cardiovascular Disease-Related Mortality among Patients with Primary Malignant Cardiac Tumors Receiving Chemotherapy in the United States. Curr Oncol 2023; 30:8488-8500. [PMID: 37754533 PMCID: PMC10529023 DOI: 10.3390/curroncol30090618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 09/12/2023] [Accepted: 09/14/2023] [Indexed: 09/28/2023] Open
Abstract
Primary malignant cardiac tumors (PMCTs) are rare but lethal neoplasms. There are limited evidence-based treatment guidelines for PMCTs. We evaluated the relation of chemotherapy with mortality outcomes in patients with PMCTs in the United States. Data were from patients aged ≥ 20 years from the Surveillance, Epidemiology, and End Results program who were diagnosed with PMCTs from 2000 to 2020. Cox regression, competing risk, and propensity score analyses were performed to estimate hazard ratios (HR) and confidence intervals (CI). About 53% of the 563 patients with PMCTs received chemotherapy as the first course of treatment. During a mean follow-up of 24.7 months (median: 10), 458 deaths occurred with 81.7% and 9.4% due to cancer and cardiovascular disease (CVD), respectively. In models adjusted for sociodemographic and clinico-pathophysiological factors including histology, receipt of chemotherapy was associated with low risk for all-cause (HR: 0.56, 95%CI: 0.45-0.69), cancer (HR: 0.63, 95%CI: 0.50-0.80) and CVD mortality (HR: 0.27, 95%CI: 0.12-0.58). Patients who had both chemotherapy and surgery had the lowest risk for all-cause and cancer mortality. This study suggests that the subpopulations of patients with PMCTs who receive chemotherapy may have better prognosis than those who do not receive this therapy regardless of histology.
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Affiliation(s)
- Duke Appiah
- Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA
| | - Carina R. Goodart
- School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA
| | - Grishma K. Kothari
- Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA
| | - Imo A. Ebong
- Division of Cardiovascular Medicine, University of California, Davis, Sacramento, CA 95616, USA
| | - Chike C. Nwabuo
- Department of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA;
- Ronin Institute, Montclair, NJ 07043, USA
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6
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Alsaloum M, Lee C, Dudorova E, Szabolcs MJ, Shetty M, Navot B, Ravalli S. A Right Atrial Mass Discovered Postpartum: A Diagnostic Challenge. CASE (PHILADELPHIA, PA.) 2023; 7:325-330. [PMID: 37614688 PMCID: PMC10442368 DOI: 10.1016/j.case.2023.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
•Most primary cardiac tumors are benign with a broad differential diagnosis. •Imaging helps characterize tumors, but pathology is required for final diagnosis. •Cardiac hemangiomas are rare and often misdiagnosed, requiring biopsy.
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Affiliation(s)
- Marissa Alsaloum
- Department of Medicine, NewYork-Presbyterian, Columbia University Irving Medical Center, New York, New York
| | - Charlotte Lee
- Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, New York
| | - Elena Dudorova
- Department of Medicine, Norwalk Hospital-Yale University School of Medicine, New Haven, Connecticut
| | - Matthias J. Szabolcs
- Department of Pathology, Columbia University Irving Medical Center, New York, New York
| | - Mrin Shetty
- Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, New York
| | - Benjamin Navot
- Department of Radiology, Columbia University Irving Medical Center, New York, New York
| | - Stefano Ravalli
- Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, New York
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7
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Sohal S, Tanko FA, Vucic E, Waxman S, Gupta S, Fyfe-Kirschner B. Pathological Correlation of a Cardiac Mass with Multimodality Imaging. Case Rep Med 2023; 2023:7352934. [PMID: 37113318 PMCID: PMC10129422 DOI: 10.1155/2023/7352934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 02/02/2023] [Accepted: 03/16/2023] [Indexed: 04/29/2023] Open
Abstract
Cardiac masses are rarely encountered in clinical practice and can lead to severe hemodynamic consequences. In addition to clinical cues, noninvasive modalities can play an important role in characterization of these masses and therefore their diagnosis and management planning. Here in this case report, we describe the use of various forms of noninvasive imaging techniques to narrow the differential diagnosis and form an operative plan for a cardiac mass later identified as a benign myxoma originating from the right ventricle on histological examination.
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Affiliation(s)
- Sumit Sohal
- Division of Cardiology, Department of Internal Medicine, RWJBH Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, USA
| | - Farida A. Tanko
- Department of Pathology, Robert Wood Johnson University Hospital, 125 Paterson St, New Brunswick, NJ 08901, USA
| | - Esad Vucic
- Division of Cardiology, Department of Internal Medicine, RWJBH Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, USA
| | - Sergio Waxman
- Division of Cardiology, Department of Internal Medicine, RWJBH Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, USA
| | - Suresh Gupta
- Department of Pathology, RWJBH Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, USA
| | - Billie Fyfe-Kirschner
- Department of Pathology, RWJBH Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, USA
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8
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Noyan A, Yavas G, Efe E, Arslan G, Yavas C, Onal C. Cardiac angiosarcoma treated with 1.5 Tesla MR-guided adaptive stereotactic body radiotherapy – Case report and review of the literature. Int J Surg Case Rep 2022; 98:107521. [PMID: 36027835 PMCID: PMC9424346 DOI: 10.1016/j.ijscr.2022.107521] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Revised: 07/25/2022] [Accepted: 08/12/2022] [Indexed: 12/01/2022] Open
Affiliation(s)
- Asli Noyan
- Baskent University, Faculty of Medicine, Ankara, Turkey
| | - Guler Yavas
- Baskent University, Faculty of Medicine, Department of Radiation Oncology, Ankara, Turkey
| | - Esma Efe
- Baskent University, Faculty of Medicine, Department of Radiation Oncology, Ankara, Turkey
| | - Gungor Arslan
- Baskent University, Faculty of Medicine, Department of Radiation Oncology, Ankara, Turkey
| | - Cagdas Yavas
- Baskent University, Faculty of Medicine, Department of Radiation Oncology, Ankara, Turkey
| | - Cem Onal
- Baskent University, Faculty of Medicine, Department of Radiation Oncology, Ankara, Turkey; Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Research and Treatment Center, Department of Radiation Oncology, Adana, Turkey.
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9
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Numata K, Urata N, Nakayama Y, Ju M, Tanaka A, Nakayama H, Yamanaka K, Hatori S, Matsubara O, Rino Y, Tani K. Solitary Cardiac Metastasis from Colorectal Cancer: A Case Report. Case Rep Oncol 2022; 15:798-803. [PMID: 36825107 PMCID: PMC9941776 DOI: 10.1159/000526549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 07/29/2022] [Indexed: 11/19/2022] Open
Abstract
A 73-year-old woman with silent cardiac metastasis underwent high anterior resection for rectal cancer 3 years ago. Follow-up computed tomography showed a tumor in the right atrium. Partial vascular resection of the superior vena cava and right atrium was performed. Early postoperative recurrence occurred, and chemotherapy was unsuccessful. The patient died 7 months after surgery.
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Affiliation(s)
- Koji Numata
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Nozomi Urata
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Yuta Nakayama
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Mihwa Ju
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Ayano Tanaka
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | | | - Kazuki Yamanaka
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Shinsuke Hatori
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Osamu Matsubara
- bDepartment of Diagnostic Pathology, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
| | - Yasushi Rino
- cDepartment of Surgery, Yokohama City University, Yokohama, Japan
| | - Kazuyuki Tani
- aDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan
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10
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Curtiaud A, Delmas C, Gantzer J, Zafrani L, Siegemund M, Meziani F, Merdji H. Cardiogenic shock among cancer patients. Front Cardiovasc Med 2022; 9:932400. [PMID: 36072868 PMCID: PMC9441759 DOI: 10.3389/fcvm.2022.932400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 07/04/2022] [Indexed: 11/13/2022] Open
Abstract
Sophisticated cancer treatments, cardiovascular risk factors, and aging trigger acute cardiovascular diseases in an increasing number of cancer patients. Among acute cardiovascular diseases, cancer treatment, as well as the cancer disease itself, may induce a cardiogenic shock. Although increasing, these cardiogenic shocks are still relatively limited, and their management is a matter of debate in cancer patients. Etiologies that cause cardiogenic shock are slightly different from those of non-cancer patients, and management has some specific features always requiring a multidisciplinary approach. Recent guidelines and extensive data from the scientific literature can provide useful guidance for the management of these critical patients. Even if no etiologic therapy is available, maximal intensive supportive measures can often be justified, as most of these cardiogenic shocks are potentially reversible. In this review, we address the major etiologies that can lead to cardiogenic shock in cancer patients and discuss issues related to its management.
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Affiliation(s)
- Anais Curtiaud
- Université de Strasbourg (UNISTRA), Faculté de Médecine, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Service de Médecine Intensive-Réanimation, Strasbourg, France
| | - Clement Delmas
- Intensive Cardiac Care Unit, Cardiology Department, University Hospital of Rangueil, Toulouse, France
| | - Justine Gantzer
- Department of Medical Oncology, Strasbourg-Europe Cancer Institute (ICANS), Strasbourg, France
| | - Lara Zafrani
- Medical Intensive Care Unit, Saint-Louis Hospital, Assistance Publique des Hôpitaux de Paris, University of Paris, Paris, France
| | - Martin Siegemund
- Intensive Care Unit, Department of Acute Medicine, University Hospital, Basel, Switzerland
- Department of Clinical Research, University of Basel, Basel, Switzerland
| | - Ferhat Meziani
- Université de Strasbourg (UNISTRA), Faculté de Médecine, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Service de Médecine Intensive-Réanimation, Strasbourg, France
- INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative Nanomedicine (RNM), FMTS, Strasbourg, France
| | - Hamid Merdji
- Université de Strasbourg (UNISTRA), Faculté de Médecine, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Service de Médecine Intensive-Réanimation, Strasbourg, France
- INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative Nanomedicine (RNM), FMTS, Strasbourg, France
- *Correspondence: Hamid Merdji
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11
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Talebi A, Zeraatian Nejad Davani S, Saberi Shahrbabaki A, Gholizadeh Mesgarha M, Pour Mohammad A, Zare‐Mirzaie A. A case report of an extremely rare type of cardiac tumor: Primary cardiac angiofibroma. J Card Surg 2021; 37:688-692. [DOI: 10.1111/jocs.16187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 12/06/2021] [Accepted: 12/13/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Aisa Talebi
- Faculty of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran
| | - Sam Zeraatian Nejad Davani
- Department of Cardiovascular Surgery, Rasool Akram Hospital Iran University of Medical Sciences (IUMS) Tehran Iran
| | | | | | | | - Ali Zare‐Mirzaie
- Department of Pathology Iran University of Medical Sciences (IUMS) Tehran Iran
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12
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Gopal JV, Crowley L, Quinn SM, Misselbeck TS, Zackary JB. Concurrent Primary Cardiac Tumors in a High-Risk Patient Presenting With Tamponade. Cureus 2021; 13:e17324. [PMID: 34567871 PMCID: PMC8451529 DOI: 10.7759/cureus.17324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2021] [Indexed: 11/05/2022] Open
Abstract
Primary cardiac tumors are rare, particularly in the elderly population. The patient described in this report presented with symptoms of dyspnea on exertion, leg swelling, and weight gain and was found to have two histologically distinct cardiac masses: atrial myxoma with concurrent aortic fibroelastoma. Given her history of cirrhosis and end-stage renal disease, the patient was a poor surgical candidate but opted for excision of both masses. The patient eventually succumbed to her cirrhosis six weeks after presentation. In this report, we advocate for further research into medical management for the unique presentation of concurrent primary cardiac tumors in high-operative-risk patients, particularly those whose symptoms are mostly due to tamponade.
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Affiliation(s)
- Jay V Gopal
- Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA
| | - Lauren Crowley
- Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA
| | - Shawn M Quinn
- Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA
| | - Timothy S Misselbeck
- Department of Surgery, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA
| | - Joseph B Zackary
- Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA
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13
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Vasilakis GM, Lakhani DA, Adelanwa A, Hogg JP, Kim C. Atypical imaging presentation of a massive intracavitary cardiac thrombus: A case report and brief review of the literature. Radiol Case Rep 2021; 16:2847-2852. [PMID: 34401011 PMCID: PMC8350016 DOI: 10.1016/j.radcr.2021.06.089] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 01/08/2023] Open
Abstract
Intracavitary cardiac thrombi, uncommonly found in the right chambers, have been shown to form secondary to endocardial and myocardial diseases. The differential diagnosis for an intracavitary cardiac mass is broad, including primary cardiac tumors, cardiac metastases, anatomic variants, vegetations, and thrombi. Here we present a unique case with a large calcified intracavitary cardiac thrombus in a 26-year-old woman with obesity, immune thrombocytopenic purpura, and a new diagnosis of systemic lupus erythematosus. Initial imaging presentation in this case masqueraded as a tumor, delaying the true diagnosis. A combination of cardiac imaging techniques, including transthoracic and transesophageal echocardiograms, cardiac CT, and cardiac MRI were required to correctly diagnose this calcified bland thrombus.
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Affiliation(s)
- Georgia M Vasilakis
- School of Medicine, West Virginia University School of Medicine, WV, 26506, USA
| | - Dhairya A Lakhani
- Department of Radiology, West Virginia University, Morgantown, WV, 26506, USA
| | - Ayodele Adelanwa
- Department of Pathology, West Virginia University, Morgantown, WV, 26506, USA
| | - Jeffery P Hogg
- Department of Radiology, West Virginia University, Morgantown, WV, 26506, USA
| | - Cathy Kim
- Department of Radiology, West Virginia University, Morgantown, WV, 26506, USA.,Section of Cardiothoracic Imaging, Department of Radiology, West Virginia University, Morgantown, WV, 26506, USA
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14
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Tao Z, Li Y, Zhao Y, Liu D. Incidental finding of an adult intracardiac teratoma. J Card Surg 2021; 36:3441-3444. [PMID: 34091978 DOI: 10.1111/jocs.15724] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 05/04/2021] [Accepted: 05/14/2021] [Indexed: 11/29/2022]
Abstract
We reported an exceedingly rare adult case of intracardiac teratoma with a bicuspid aortic valve. A small mass was discovered in the right ventricle of a 37-year-old man by accident after he was referred to our hospital due to chronic chest distress and aggravated palpitation. We performed a surgical exploration with excision of the lesion after a repeat transthoracic echocardiography suggested a space-occupying lesion in the interventricular septum. A mature cystic teratoma was pathologically confirmed. During the half-year follow-up, no symptoms were reported. This case constitutes the first report of the smallest primary intracardiac teratoma in an adult with a bicuspid aortic valve.
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Affiliation(s)
- Zhenze Tao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yinglu Zhao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Debin Liu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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15
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Massie E, White M, Robillard J, Demers P, Mondésert B, Doyon J, Chaix MA. Palpitations Revealing a Primary Pulmonary Artery Sarcoma. CJC Open 2021; 3:831-834. [PMID: 34169263 PMCID: PMC8209369 DOI: 10.1016/j.cjco.2021.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 01/07/2021] [Indexed: 11/21/2022] Open
Abstract
Primary pulmonary artery sarcoma is an exceedingly rare and aggressive malignancy that carries poor prognosis. Clinical manifestations are nonspecific and include chest pain, dyspnea, syncope, palpitations, and asthenia, among others. Delay to diagnosis is common and compromises the prognosis. Here, we report an interesting case of primary pulmonary artery sarcoma presenting with frequent monomorphic premature ventricular contractions arising from the right/left ventricle outflow tract. Cardiac imaging is key in the evaluation of patients with frequent premature ventricular contractions to rule out rare pathologies such as tumour compression.
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Affiliation(s)
- Emmanuelle Massie
- Department of Medicine, Division of Cardiology, Montreal Heart institute, Université de Montréal, Montréal, Québec, Canada
| | - Michel White
- Department of Medicine, Division of Cardiology, Montreal Heart institute, Université de Montréal, Montréal, Québec, Canada
| | - Julie Robillard
- Department of Medicine, Division of Radiology, Montréal Heart Institute, Université de Montréal, Montréal, Québec, Canada
| | - Philippe Demers
- Department of Medicine, Division of Surgery, Montréal Heart Institute, Université de Montréal, Montréal, Québec, Canada
| | - Blandine Mondésert
- Department of Medicine, Division of Cardiology, Montreal Heart institute, Université de Montréal, Montréal, Québec, Canada
| | - Josée Doyon
- Department of Medicine, Division of Pathology, Maisonneuve-Rosemont Hospital, Université de Montréal, Montréal, Québec, Canada
| | - Marie-A Chaix
- Department of Medicine, Division of Cardiology, Montreal Heart institute, Université de Montréal, Montréal, Québec, Canada
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16
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Qiu Q, Huang Y, Liu X, Huang F, Li X, Cui L, Luo H, Luo L. Potential Therapeutic Effect of Traditional Chinese Medicine on Coronavirus Disease 2019: A Review. Front Pharmacol 2020; 11:570893. [PMID: 33343347 PMCID: PMC7741169 DOI: 10.3389/fphar.2020.570893] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 09/18/2020] [Indexed: 12/15/2022] Open
Abstract
The Coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 has been rapidly spreading globally and has caused worldwide social and economic disruption. Currently, no specific antiviral drugs or clinically effective vaccines are available to prevent and treat COVID-19. Traditional Chinese medicine (TCM) can facilitate syndrome differentiation and treatment according to the clinical manifestations of patients and has demonstrated effectiveness in epidemic prevention and control. In China, TCM intervention has helped to control the epidemic; however, TCM has not been fully recognized worldwide. In this review, we summarize the epidemiology and etiological characteristics of severe acute respiratory syndrome coronavirus 2 and the prevention and treatment measures of COVID-19. Additionally, we describe the application of TCM in the treatment of COVID-19 and the identification of small molecules of TCM that demonstrate anti-coronavirus activity. We also analyze the current problems associated with the recognition of TCM. We hope that, through the contribution of TCM, combined with modern technological research and the support of our international counterparts, COVID-19 can be effectively controlled and treated.
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Affiliation(s)
- Qin Qiu
- Graduate School, Guangdong Medical University, Zhanjiang, China
| | - Yuge Huang
- Department of Pediatrics, The Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Xiaohua Liu
- Graduate School, Guangdong Medical University, Zhanjiang, China
| | - Fangfang Huang
- Graduate School, Guangdong Medical University, Zhanjiang, China
| | - Xiaoling Li
- Animal Experiment Center, Guangdong Medical University, Zhanjiang, China
| | - Liao Cui
- Guangdong Key Laboratory for Research and Development of Natural Drugs, Guangdong Medical University, Zhanjiang, China
| | - Hui Luo
- The Marine Biomedical Research Institute, Guangdong Medical University, Zhanjiang, China
| | - Lianxiang Luo
- The Marine Biomedical Research Institute, Guangdong Medical University, Zhanjiang, China
- The Marine Biomedical Research Institute of Guangdong Zhanjiang, Zhanjiang, China
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17
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Affiliation(s)
- Rajeev Gupta
- Department of CardiologyMediclinic Al‐Jowhara/Al Ain HospitalsAl AinUnited Arab Emirates
| | | | - Rupak Desai
- Division of CardiologyAtlanta VA Medical CenterDecaturGA
| | - Neelesh Gupta
- Department of Internal MedicineUniversity of South Alabama Medical CenterMobileAL
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