Abstract
A 28-year-old female was transferred to the emergency department from her physician’s office for further evaluation of tachycardia. She was being seen for a recent illness which included nausea, vomiting, diarrhea and fevers. The patient endorsed fatigue, dyspnea on exertion, and extremity edema. She had no chest pain or cough. Exam revealed a pale, fatigued, mildly ill-appearing female with bilateral lower extremity edema and diminished breath sounds on the right. Chest radiograph revealed a large right pleural effusion (Figure 1). Computed tomographic angiography of the chest was performed (Figure 2).
Highlights
A 28-year-old female was transferred to the emergency department from her physician’s office for further evaluation of tachycardia
About 25% of primary cardiac tumors are malignant with 95% of those being sarcomas.[3]
Sarcomas often invade into adjacent structures including the myocardium, valves, vena cava and pericardium.[3]
Summary
Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 15(2) Powered by the California Digital Library University of California Cardiac Sarcoma: Unusual Cause of Intracardiac Contrast Filling Defect Supervising Section Editor: Sean Henderson, MD Submission history: Submitted November 25, 2013; Accepted December 10, 2013
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