{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:15Z","timestamp":1753876275108,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T00:00:00Z","timestamp":1724457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Cardiac angiosarcomas are exceptionally uncommon, and result in significant morbidity and mortality. Utilizing a multimodality approach enhances the characterization of the mass for optimal diagnostic outcomes. The recommended primary treatment involves complete surgical resection coupled with adjuvant radiochemotherapy. Excimer laser sheaths provide a novel option for extracting substantial tissue samples, facilitating appropriate and targeted treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 54-year-old female presented with dyspnoea and chest pain. Cardiac imaging showed a large right atrial mass suspected to be malignant. Echocardiography was utilized for diagnosis, follow-ups, and as part of the biopsy procedure. However, adopting an off-label approach involving an excimer laser sheath as a bioptome led to the successful diagnosis of an angiosarcoma. Commencement of radiochemotherapy resulted in a reduction in tumour size and a rapid improvement in the patient\u2019s quality of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The presented case underlines the significance of multimodality imaging and the use of an excimer laser-assisted intracardiac biopsy in achieving an accurate diagnosis. Cardiovascular imaging not only serves as the primary diagnostic tool but also plays a crucial role in risk stratification and in planning therapeutic interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae433","type":"journal-article","created":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T20:35:26Z","timestamp":1724531726000},"source":"Crossref","is-referenced-by-count":0,"title":["Cardiac angiosarcoma: how multimodality imaging and excimer laser assisted intracardiac biopsy led to the correct diagnosis\u2014a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7162-1175","authenticated-orcid":false,"given":"Anna","family":"Veliqi","sequence":"first","affiliation":[{"name":"Department of Cardiology & Critical Care Medicine, Asklepios Klinik St. Georg , Lohm\u00fchlenstra\u00dfe 5, 20099 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"Hakmi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asklepios Klinik St. Georg , Lohm\u00fchlenstra\u00dfe 5, 20099 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Department of Cardiology & Critical Care Medicine, Asklepios Klinik St. Georg , Lohm\u00fchlenstra\u00dfe 5, 20099 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8890-5749","authenticated-orcid":false,"given":"Stephan","family":"Willems","sequence":"additional","affiliation":[{"name":"Department of Cardiology & Critical Care Medicine, Asklepios Klinik St. Georg , Lohm\u00fchlenstra\u00dfe 5, 20099 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da-Un","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Cardiology & Critical Care Medicine, Asklepios Klinik St. Georg , Lohm\u00fchlenstra\u00dfe 5, 20099 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,24]]},"reference":[{"key":"2024122016523415200_ytae433-B1","first-page":"205","article-title":"Cardiac tumors\u2014diagnosis and surgical treatment","volume":"111","author":"Hoffmeier","year":"2014","journal-title":"Dtsch Arztebl Int"},{"key":"2024122016523415200_ytae433-B2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.jtcvs.2019.12.109","article-title":"Survival outcomes in patients with primary cardiac sarcoma in the United States","volume":"162","author":"Yin","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024122016523415200_ytae433-B3","first-page":"830","article-title":"Prima\u0308res kardiales Angiosarkom. 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