Cardiac leiomyomatosis misdiagnosed initially as submissive pulmonary embolism: a rare case report
  • Abdulmajeed Faleh Alosail
    Department of Internal Medicine, College of Medicine, King Faisal University, Al-Hasa, Saudi Arabia; Department of Cardiology, University of British Columbia, Vancouver, Canada

Keywords

Type A aortic dissection, Bentall procedure, atypical symptoms

Abstract

This case report presents a rare case of cardiac leiomyomatosis misdiagnosed initially as submassive pulmonary embolism in a 39-year-old woman. The patient presented with syncope and hypotension, leading to an initial diagnosis of submassive pulmonary embolism. However, further investigations revealed a right-sided heart mass on echocardiogram. Surgical intervention was carried out, and the patient’s condition was successfully managed. This case emphasizes the importance of considering rare cardiac tumours in the differential diagnosis of pulmonary embolism.

VIEW THE ENTIRE ARTICLE

References

  • Wu CK, Luo JL, Yang CY, Huang YT, Wu XM., Cheng CL. et al. Intravenous leiomyomatosis with intracardiac extension. Intern Med. 2009;48:997-1001
  • Burke AP, Cowan D, Virmani R. Primary sarcomas of the heart. Cancer 1992;69:387-395.
  • Yuan SM. Leiomyosarcoma of the heart. Interact Cardiovasc Thorac Surg 2010;10:1051-1056.
  • Pucci A, Gagliardotto P, Zanini C. Surgical treatment of primary cardiac tumours: early and late results in a multicenter experience. J Thorac Cardiovasc Surg 2011;141:e100-e106.
  • Butany J, Nair V, Naseemuddin A, Nair GM, Catton C, Yau T. Cardiac tumours: diagnosis and management. Lancet Oncol 2005;6:219-228.
  • Ekmekci A, Ozgur MM, Yildirim. Cardiac leiomyosarcoma: case report and review of the literature. Turk J Thorac Cardiovasc Surg 2019;27:282-285.
  • Maleszewski JJ, Bois MC, Bois JP, Young PM, Stulak JM, Klarich KW. Cardiac leiomyosarcoma: clinicopathologic features and outcomes for 14 consecutive patients. Mayo Clin Proc 2016;91:651-658.
  • Views: 202
    HTML downloads: 23
    PDF downloads: 142


    Published: 2023-11-20
    Issue: 2023: Vol 10 No 12 (view)


    How to cite:
    1.
    Alosail AF. Cardiac leiomyomatosis misdiagnosed initially as submissive pulmonary embolism: a rare case report. EJCRIM 2023;10 doi:10.12890/2023_004173.