Successful delivery in a pregnancy complicated by primary cardiac angiosarcoma with ovarian metastasis: a case report
10.3760/cma.j.cn113903-20240417-00292
- VernacularTitle:妊娠合并原发性心脏血管肉瘤伴卵巢转移成功分娩1例
- Author:
Xingyu MAO
1
;
Xi PENG
;
Ting SONG
;
Jianwei HUANG
Author Information
1. 广州医科大学附属第三医院（广东省产科重大疾病重点实验室；广东省妇产疾病临床医学研究中心）放射科，广州 510150
- Keywords:
Angiosarcoma;
Cardiac tumors;
Magnetic resonance imaging;
Ovary
- From:
Chinese Journal of Perinatal Medicine
2024;27(11):956-958
- CountryChina
- Language:Chinese
-
Abstract:
This article reported a case of successful delivery in a woman with right atrial angiosarcoma and ovarian metastasis. At 31 weeks of gestation, the pregnant woman experienced dyspnea, osphyalgia, nausea, and vomiting. An echocardiogram performed at a local hospital indicated a hypoechoic mass in the right atrium. On December 12, 2023 (32 weeks of gestation), she was transferred to the Third Affiliated Hospital of Guangzhou Medical University. On admission, cardiac ultrasound suggested an irregular slightly high echo in the right atrium, and MRI indicated a malignant tumor. On the day of admission, the patient underwent cardiac exploratory surgery and cesarean section. An enlarged left ovary was found during the surgery, and postoperative pathology confirmed primary right atrial angiosarcoma with left ovarian metastasis. The patient was transferred to the intensive care unit for further treatment. At the request of her family, she was discharged after her condition improved (11 d after the surgery). A male infant who had shallow breathing but did not cry at birth was delivered via cesarean section. He was transferred to the neonatal department for intubation and positive pressure ventilation with a resuscitation bag and was discharged 25 d after birth. The patient was lost to follow-up after discharge.
