Respiratory Failure in an Adolescent with Primary Cardiac Sarcoma
Joint Authors
Angeli, Daniel
Angeli, Stephen J.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-08-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report a case of progressive respiratory failure secondary to primary cardiac sarcoma masquerading as primary lung disease.
An 18-year-old female presented to our hospital emergency department with progressive cough, dyspnea, and hemoptysis.
She was treated for primary lung infection without improvement and had respiratory failure with endotracheal intubation by the third hospital day.
An “intermediate” plasma brain natriuretic protein (BNP) of 216 pg/mL did not raise concerns about a heart failure diagnosis and may have delayed the correct diagnosis.
Computed tomography of the chest with intravenous contrast was performed on the fifth hospital day and revealed a cardiac mass.
A transthoracic echocardiogram confirmed a large left atrial mass that was obstructing mitral inflow.
She was transferred to a tertiary center for emergency cardiac surgery.
Primary cardiac tumors are a rare and treatable cause of heart failure in adolescent and young adult patients.
Presentation can be confused with primary lung disease and must be suspected early.
Plasma BNP cutoff levels used in the adult population should not be extrapolated to adolescents, as levels, both normal and abnormal, are significantly lower in this group of patients.
American Psychological Association (APA)
Angeli, Daniel& Angeli, Stephen J.. 2015. Respiratory Failure in an Adolescent with Primary Cardiac Sarcoma. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058132
Modern Language Association (MLA)
Angeli, Daniel& Angeli, Stephen J.. Respiratory Failure in an Adolescent with Primary Cardiac Sarcoma. Case Reports in Cardiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058132
American Medical Association (AMA)
Angeli, Daniel& Angeli, Stephen J.. Respiratory Failure in an Adolescent with Primary Cardiac Sarcoma. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058132
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058132