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Case Reports in Surgery
Volume 2015 (2015), Article ID 810306, 4 pages
http://dx.doi.org/10.1155/2015/810306
Case Report

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

Department of Cardiovascular Surgery, Ankara University School of Medicine, Cebeci Heart Center, Dikimevi, 06340 Ankara, Turkey

Received 26 August 2015; Accepted 4 November 2015

Academic Editor: Christophoros Foroulis

Copyright © 2015 Cagdas Baran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report here on a 43-year-old female patient presenting with non-ST elevation myocardial infarction, severe mitral regurgitation, and mild mitral stenosis secondary to encroachment of the related structures by a primary cardiac angiosarcoma. A coronary angiography revealed significant stenosis in the left main and left circumflex arteries and at exploration, the tumour was arising from posterior left atrial free wall, invading the posterior mitral leaflet, and extending into all of the pulmonary veins and pericardium. Therefore, no further intervention was performed, except for left internal mammarian artery to left anterior descending artery anastomosis and biopsy. As far as we know, this case is unique with respect to its presentation.