Cardiac Angiosarcoma from a Saphenous Vein Coronary Artery Bypass Graft

Primary cardiac sarcomas (PCS) are rare and the prognosis is generally poor. Angiosarcomas are the most common cardiac sarcoma histology. The best management of PCS is poorly defined. Chronic lymphedema, foreign bodies, including Dacron grafts, and arteriovenous fistulas have been associated with angiosarcoma, and angiosarcomas arising from saphenous vein femoropopliteal bypass grafts have been reported. We present the first known case of a cardiac angiosarcoma originating from an autologous saphenous vein graft used in a coronary artery bypass. The patient’s course and the literature on primary cardiac angiosarcomas are reviewed.