Primary cardiac sarcoma presenting as shock

Primary cardiac sarcomas are rare tumors with an unfavourable prognosis. Complete surgical resection is currently the only mode of therapy proven to show any benefit. We report an adult male who presented to emergency department with shock. Echocardiography revealed a huge right ventricular mass obstructing the right ventricular outflow tract and he underwent emergency resection of the mass. Subsequent histopathology confirmed the diagnosis of fibromyxosarcoma. Primary cardiac sarcoma presenting as circulatory shock is a rare phenomenon.