Korean J Intern Med.  2007 Mar;22(1):32-36. 10.3904/kjim.2007.22.1.32.

A Case of Pulmonary Vein Tumor Presenting as a Left Atrial Mass

• Jeon HK
• Kim JH
• Cho GH
• Kyung SY
• Jeong SH
• Chung WJ
• Kim NR

• KMID: 1717992
• DOI: http://doi.org/10.3904/kjim.2007.22.1.32

Abstract

Primary cardiac tumors are extremely rare and can originate within the heart or be the result of tumor spread from other sites. We report a female patient with a pulmonary vein tumor extending into the left atrium that had a suspicious primary malignant origin with a sacral metastatic carcinoma. The patient was admitted complaining of pain in her buttock area as a result of a sacral tumor. It was believed that the sacral tumor was a metastasis from the imaging study and clinical manifestation. The primary malignant origin was evaluated. The chest CT showed a left atrium thrombus-like lesion without a pulmonary abnormality. After a transesophageal echocardiogram, the patient was diagnosed with a pulmonary vein tumor extending to the left atrium. The patient was given palliative radiotherapy for the sacral pain. Initially, the clinical impression was a metastatic sacral tumor with a thromboembolism of the left atrium. However, this patient was finally diagnosed with a pulmonary vein tumor with a left atrium extension by a transesophageal echocardiogram.

Keyword

Pulmonary vein tumor; Left atrium tumor

MeSH Terms

Vascular Neoplasms/*diagnosis/pathology
Thromboembolism/diagnosis
Sacrococcygeal Region/pathology
Pulmonary Veins/*pathology
Palliative Care
Humans
Heart Neoplasms/*diagnosis/pathology
Heart Atria/*pathology
Female
Diagnosis, Differential
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