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KMID : 0338420070220010032
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The Korean Journal of Internal Medicine
2007 Volume.22 No. 1 p.32 ~ p.36
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A Case of Pulmonary Vein Tumor Presenting as a Left Atrial Mass
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Jeon Hyo-Keun
Kim Jung-Ho
Cho Kwon-Hyun
Kyung Sun-Young
Jeong Sung-Hwan
Chung Wook-Jin
Kim Na-Rai
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Abstract
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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.
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KEYWORD
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Pulmonary Vein Tumor, Left atrium tumor
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