A Fatal Finding in the Right Atrium

A 66-year-old man presents with shortness of breath and weight loss, leading to a shocking cardiac discovery. Explore this case of rapid hemodynamic collapse.

Angiosarcoma


A 66-year-old man presented to the emergency department with a 4-day history of shortness of breath and swelling in the legs along with recent fatigue and a 15-kg weight loss. Over the course of hospitalization, the patient developed hemodynamic instability and, despite receiving maximal supportive therapy, died in the intensive care unit. Gross pathological examination of the heart is shown. What is the most likely diagnosis?

What is the most likely diagnosis?

Staphylococcus aureus septic emboli
Angiosarcoma
Pericardial mesothelioma
Chronic Chagas’ heart disease
Cardiac amyloidosis

Angiosarcoma, Cardiac Tumor, Echocardiogram, Heart Failure, Right Atrium

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