[A case of angiosarcoma of the heart with cardiac tamponade and repeated hemoptysis].

A 30-year-old man who died from brain metastasis of cardiac angiosarcoma is presented. His chest X-ray film showed cardiac tamponade and bilateral pleural effusion. His symptoms were improved only by drainage of the bloody pericardial and pleural effusion. During the course of the disease, multiple nodular infiltrates were seen on chest CT and hemoptysis occurred repeatedly. He presented to our hospital. On the first night of hospitalization, symptoms including headache, vomiting and disturbance of consciousness appeared and brain CT showed suspected brain metastasis. He died on the 20th hospital day with no definite diagnosis having been established. At postmortem examination, a hen's egg sized cardiac angiosarcoma was found infiltrating the right atrial wall. Metastatic foci were found in the epicardium and bilateral lungs. This case was considered to be angiosarcoma of the heart, manifesting various clinical symptoms because of bleeding from the metastatic foci.