A primary cardiac sarcoma presenting with superior vena cava

Am J Emerg Med · Jan 2012

Case Reports

A primary cardiac sarcoma presenting with superior vena cava obstruction.

Superior vena cava (SVC) obstruction leads to a constellation of symptoms and signs that encompass the SVC syndrome. Today, malignancy accounts for 65% of all cases. The most common neoplastic causes are non–small cell lung cancer (50%), small cell lung cancer (25%), lymphoma, and metastasis. ⋯ The patient developed life-threatening airway obstruction after administration of anxiolytic. The diagnosis of SVC obstruction secondary to a primary cardiac sarcoma was established based on clinical, radiologic, and post-mortem findings. This is one of very few reported cases of a primary cardiac sarcoma causing SVC obstruction.

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- Ausami Abbas, Manish Thakker, Tracey Keteepe-Arachi, Neil Ruparelia, Gearoid T Kingston, and Timothy J Parke.
- ST4 in Emergency Medicine, Department of Emergency Medicine, Stoke Mandeville Hospital, Aylesbury, UK. mtyed@yahoo.co.uk
- Am J Emerg Med. 2012 Jan 1;30(1):264.e3-5.
AbstractSuperior vena cava (SVC) obstruction leads to a constellation of symptoms and signs that encompass the SVC syndrome. Today, malignancy accounts for 65% of all cases. The most common neoplastic causes are non–small cell lung cancer (50%), small cell lung cancer (25%), lymphoma, and metastasis. Primary cardiac tumors are an extremely rare cause of SVC obstruction. We describe the case of a 48-year-old man who presented with dyspnea, confusion, and facial swelling with cyanosis. The patient developed life-threatening airway obstruction after administration of anxiolytic. The diagnosis of SVC obstruction secondary to a primary cardiac sarcoma was established based on clinical, radiologic, and post-mortem findings. This is one of very few reported cases of a primary cardiac sarcoma causing SVC obstruction.

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A primary cardiac sarcoma presenting with superior vena cava obstruction.

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