{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:29Z","timestamp":1753876289919,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T00:00:00Z","timestamp":1746230400000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,2]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n There are many causes of pericardial effusion and if the accumulating fluid results in cardiac tamponade, it may lead to life-threatening haemodynamic collapse. Therefore, rapid diagnosis and treatment of cardiac tamponade is critical.<\/jats:p>\n <\/jats:sec>\n \n Case summary<\/jats:title>\n A 53-year-old woman presented to the emergency department with chest pain and undifferentiated shock. A computer tomography (CT) aortogram showed a pericardial effusion, active contrast extravasation (possibly arising from the right coronary artery), but no aortic dissection. Echocardiography confirmed a large pericardial effusion with tamponade physiology. The consensus between cardiology and cardiothoracic surgery was for urgent coronary angiography to identify the source of bleeding. This showed a network of vessels from the right coronary artery that appeared to supply a mass. Re-review of the CT scan and repeat targeted echocardiography showed the silhouette of a mass adjacent to the right atrium. The patient was taken immediately for cardiac surgery. A cardiac tumour extending through the right atrial wall was identified, resected, and subsequently was diagnosed histologically as a cardiac angiosarcoma.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Malignancy is responsible for only a small proportion of pericardial effusions and metastatic disease is overwhelmingly more common than primary cardiac neoplasms. This case highlights the use of multi-modality cardiac imaging to guide diagnosis and treatment, and the need to consider the rarer causes of haemopericardium in cases where the more common causes have been excluded.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf220","type":"journal-article","created":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T06:07:17Z","timestamp":1746252437000},"source":"Crossref","is-referenced-by-count":0,"title":["Heart team rescues a bleeding heart: a case report of cardiac angiosarcoma causing life-threatening tamponade"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3829-8095","authenticated-orcid":false,"given":"Theodore J","family":"Sklavos","sequence":"first","affiliation":[{"name":"Department of Cardiology, Princess Alexandra Hospital , 199 Ipswich Road, Woolloongabba QLD 4102 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Princess Alexandra Hospital , 199 Ipswich Road, Woolloongabba QLD 4102 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Andelkovic","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Princess Alexandra Hospital , 199 Ipswich Road, Woolloongabba QLD 4102 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Princess Alexandra Hospital , 199 Ipswich Road, Woolloongabba QLD 4102 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohan","family":"Chacko","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Princess Alexandra Hospital , 199 Ipswich Road, Woolloongabba QLD 4102 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,3]]},"reference":[{"key":"2025052601113727800_ytaf220-B1","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/S0002-9149(99)80558-X","article-title":"Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis","volume":"75","author":"Zayas","year":"1995","journal-title":"Am J Cardiol"},{"key":"2025052601113727800_ytaf220-B2","first-page":"1252","article-title":"Metastases of the heart and pericardium","volume":"27","author":"Silvestri","year":"1997","journal-title":"G Ital Cardiol"},{"key":"2025052601113727800_ytaf220-B3","doi-asserted-by":"crossref","first-page":"103","DOI":"10.12659\/MSM.889875","article-title":"Primary cardiac angiosarcoma - 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