Primary Left Cardiac Angiosarcoma with Mitral Valve Involvement Accompanying Coronary Artery Disease

Figure 1

((a) and (b)) Transesophageal echocardiogram midesophageal 4-chamber view at 0°. (a) Color Doppler image shows severe (III/IV) mitral regurgitation. (b) The two-dimensional image shows an echogenic mass in the left atrium, arising from the region of the posterior mitral leaflet and causing restriction of the movements of this leaflet. (c) Coronary angiogram (left anterior oblique view with caudal angulation) showing significant stenoses at the left main (70%) and circumflex (80%) arteries (arrows). (d) Intraoperative view of the pericardial space. Extensive and multiple masses in the pericardium and multifocal central hemorrhage in the epicardium are shown.

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