Malignant hemangiopericytoma of the right ventricular outflow tract and the pulmonary artery: a case report
Nakamura, Y.; Nishiya, Y.; Kaseno, K.; Ishikawa, T.; Kawada, M.; Fujimura, M.; Shibuya, T.; Kitagawa, M.
Journal of Cardiology 17(2): 399-410
1987
ISSN/ISBN: 0914-5087 PMID: 3448177 Document Number: 301899
A case of malignant hemangiopericytoma of the right ventricular outflow tract and the pulmonary artery associated with formation of a pseudoaneurysm in the latter is presented. This 33 year-old man had a four month history of illness. From the surgical point of view, all non-invasive modalities including phonocardiography, M-mode and two-dimensional echocardiography, radionuclide angiocardiography and contrast computed tomography underestimated the extent of the tumor as compared with the selective cineangiographic estimation. Therefore, it was suggested that in some situations where surgery is contemplated, a combination of non-invasive methods and cineangiography is essential to obtain sufficient diagnostic information, although the introduction of catheters into the right-sided cardiac chambers containing a mass might be hazardous because of potentiality dislodging portions of a tumor or adherent thrombus. Concerning pericardial abnormalities, contrast computed tomography was the most sensitive and specific method among the diagnostic techniques used in this case.