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European Journal of Echocardiography 2005 6(3):225-227; doi:10.1016/j.euje.2004.09.001
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Copyright © 2004, The European Society of Cardiology

Primary left heart malignant fibrous histiocytoma

Maria Dorobantua, Ana Fruntelataa, Dana Constantinescua, Ileana Racoveanua, Carmen Ardeleanub, Gabriel Tatu-Chitoiua and Ileana Cristina Lazara,*

aCardiology Department, Emergency Hospital of Bucharest, Bucharest, Romania
b"Victor Babes" Institute, Bucharest, Romania

Received 28 June 2004; .

* Corresponding author. Tel.: +40 21781 4372. ileanalazar{at}yahoo.com (I.C. Lazar).


  Abstract

We present the case of a 53 years-old woman presenting with congestive heart failure and pleural and pericardial effusions, in whom transthoracic and transesophageal echocardiography revealed multilocular cardiac tumor involving the left atrium wall, extending into the pericardium. Tumor was excised surgically and proved to be a malignant fibrous histiocytoma, primarily confined to the heart. Despite surgery followed by chemotherapy, the patient died a few months later. This is the 47th case of primary cardiac fibrous malignant histiocytoma reported in the literature. The pericardial involvement has been only rarely reported. Echocardiography was the method of diagnosis before rapid referral to surgery.

Keywords: Echocardiography; Malignant fibrous histiocytoma; Histopathological study


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