A primary cardiac sarcoma presenting with superior vena cava obstruction

作者：Thakker Manish^*; Keteepe Arachi Tracey; Abbas Ausami; Barker Graham; Ruparelia Neil; Kingston Gearoid T; Parke Timothy J

来源：American Journal of Emergency Medicine, 2012, 30(1): 264.e3.

DOI：10.1016/j.ajem.2010.11.030

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. 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.

• 出版日期2012-1