ABSTRACT
Cardiac metastasis of Ewing's sarcoma is exceedingly rare. A 40-year-old male was admitted with complaints of nonproductive cough, exertional dyspnea, and fatigue since 4 months with a history of abdominal wall swelling which was excised and proven to be Ewing's sarcoma/primitive neuroectodermal tumor (PNET). A transthoracic echocardiography demonstrated inhomogeneous mass located posterior to the left ventricle and a solitary mass protruding into the left atrium through the left inferior pulmonary vein. Due to accompanying pulmonary metastasis and possible poor outcome of the surgery, surgical resection was not considered.
Subject(s)
Echocardiography, Three-Dimensional , Echocardiography, Transesophageal/methods , Heart Atria , Heart Neoplasms/secondary , Lung Neoplasms/secondary , Sarcoma, Ewing/pathology , Adult , Diagnosis, Differential , Heart Neoplasms/diagnosis , Humans , Lung Neoplasms/diagnosis , Male , Pulmonary Veins , Rare Diseases , Tomography, X-Ray ComputedABSTRACT
Coronary angiography and angioplasty are relatively safe procedures but not without complications. We report an interesting case of effort angina taken for angioplasty of the LCX and assessment of fractional flow reserve (FFR) for the LAD artery lesion in which the tip of the pressure wire was broken and embolised to the LCX while trying to retrieve it. This is the first case report using a hybrid technique with a slip catheter for the successful retrieval of a fractured FFR wire.
