Cardiac intimal sarcoma presenting with pseudo-pulmonary embolism: surgical debulking, RVOT reconstruction and pulmonary valve replacement.

Multimed Man Cardiothorac SurgSep 30, 2026 (epub)
Case ReportCardiothoracic SurgeryOncology (Medical)Radiology (Diagnostic)

Dario Brenna, Paola Redaelli, Mattia Facchetti et al.

✦ AI-curated · Sources linked

Case in brief

A 27-year-old woman presented with dyspnoea and signs of right-heart failure following delivery. Initial imaging suggested pulmonary embolism, prompting emergency surgery due to haemodynamic instability. Intraoperatively, a large solid mass was found instead of a thrombus, leading to surgical debulking, right ventricle outflow tract reconstruction, and pulmonary valve replacement. Timely diagnosis of intimal sarcoma allowed for the initiation of anthracycline treatment.

Diagnostic / clinical pearl

This case highlights the importance of thorough preoperative imaging in young patients presenting with signs of pulmonary embolism, as misdiagnosis can lead to unexpected surgical findings.

Source

PubMed · PMID 42813597

Published in Multimed Man Cardiothorac Surg. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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