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http://dx.doi.org/10.4250/jcu.2015.23.1.44

PULMONARY ARTERY ANGIOSARCOMA CONFUSED WITH ACUTE PULMONARY THROMBOEMBOLISM: FOCUSING ON CLINICAL AND ECHOCARDIOGRAPHIC FEATURES IN THE DIFFERENTIATION OF TWO CATEGORIES  

KIM, MI JOO (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
KIM, MIN SU (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
PARK, JAE-HYEONG (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
PARK, KWANG-IN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
LEE, CHOONG-SIK (DEPARTMENT OF PATHOLOGY, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
NA, MYUNG HOON (DEPARTMENT OF THORACIC SURGERY, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
LEE, JAE-HWAN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
CHOI, SI WAN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
JEONG, JIN-OK (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
SEONG, IN-WHAN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
Publication Information
Journal of Cardiovascular Imaging / v.23, no.1, 2015 , pp. 44-47 More about this Journal
Abstract
Although pulmonary artery angiosarcoma is rare, it can be misdiagnosed as pulmonary embolism because of its similar clinical and diagnostic features. The diagnosis is often delayed and the misdiagnosis brings unnecessary treatment. Because we made a wrong diagnosis of pulmonary artery angiosarcoma as an acute pulmonary embolism, we did thrombolytic therapy which could be dangerous to the patient. In this case report, we focused on the clinical and echocardiographic features of pulmonary artery angiosarcoma which can be used in differentiating the diagnosis from pulmonary embolism.
Keywords
Pulmonary artery angiosarcoma; Pulmonary embolism; Echocardiography; Diagnosis;
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1 Nonomura A, Kurumaya H, Kono N, Nakanuma Y, Ohta G, Terahata S, Matsubara F, Matsuda T, Asaka T, Nishino T. Primary pulmonary artery sarcoma. Report of two autopsy cases studied by immunohisto-chemistry and electron microscopy, and review of 110 cases reported in the literature. Acta Pathol Jpn 1988;38:883-96.
2 Bleisch VR, Kraus FT. Polypoid sarcoma of the pulmonary trunk: analysis of the literature and report of a case with leptomeric organelles and ultrastructural features of rhabdomyosarcoma. Cancer 1980;46:314-24.   DOI
3 Blackmon SH, Rice DC, Correa AM, Mehran R, Putnam JB, Smythe WR, Walkes JC, Walsh GL, Moran C, Singh H, Vaporciyan AA, Reardon M. Management of primary pulmonary artery sarcomas. Ann Thorac Surg 2009;87:977-84.   DOI
4 Tschirch FT, Del Grande F, Marincek B, Huisman TA. Angiosarcoma of the pulmonary trunk mimicking pulmonary thromboembolic disease. A case report. Acta Radiol 2003;44:504-7.
5 Huo L, Lai S, Gladish G, Czerniak BA, Moran CA. Pulmonary artery angiosarcoma: a clinicopathologic and radiological correlation. Ann Diagn Pathol 2005;9:209-14.   DOI
6 Cox JE, Chiles C, Aquino SL, Savage P, Oaks T. Pulmonary artery sarcomas: a review of clinical and radiologic features. J Comput Assist Tomogr 1997;21:750-5.   DOI
7 Wittlich N, Erbel R, Eichler A, Schuster S, Jakob H, Iversen S, Oelert H, Meyer J. Detection of central pulmonary artery thromboemboli by transesophageal echocardiography in patients with severe pulmonary embolism. J Am Soc Echocardiogr 1992;5:515-24.   DOI
8 Yi CA, Lee KS, Choe YH, Han D, Kwon OJ, Kim S. Computed tomography in pulmonary artery sarcoma: distinguishing features from pulmonary embolic disease. J Comput Assist Tomogr 2004;28:34-9.   DOI
9 Oser RF, Zuckerman DA, Gutierrez FR, Brink JA. Anatomic distribution of pulmonary emboli at pulmonary angiography: implications for cross-sectional imaging. Radiology 1996;199:31-5.   DOI
10 Anderson MB, Kriett JM, Kapelanski DP, Tarazi R, Jamieson SW. Primary pulmonary artery sarcoma: a report of six cases. Ann Thorac Surg 1995;59:1487-90.   DOI