en Cardiology Cardiology case report case report <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="color:#0000ff;"><strong><em>Background</em></strong><em>:</em></span> Patient symptoms and primary investigational methods may be misleading at some points in patient management and can consume a lot of time. Sarcomas are rare malignancies and contribute 1% of all cancers of adult.<br> <span style="color:#0000ff;"><strong><em>Case Presentation</em></strong><em>:</em></span> A rare case of primary cardiac angiosarcoma is presented, who was first treated because of lung tuberculosis and then with only slight improvement in symptoms, further investigations were done showing right ventricular enlargement and pericardial effusion. Eventually, after ruling out pulmonary embolism and constrictive pericarditis, investigations lead to the diagnosis of primary cardiac angiosarcoma. The patient went under surgery to remove the tumor but he still had residual mass left, leading to chemotherapy and then radiotherapy. Although the tumor has a poor prognosis, our patient has managed to survive a year by now and is doing good for 6 months after radiotherapy.<br> <span style="color:#0000ff;"><strong><em>Conclusion</em></strong><em>:</em></span> The case describes the importance of having in mind different differential diagnosis in managing patients and the role of multi-modality imaging in guiding diagnosis and treatment.</span></span> Heart neoplasms, tuberculosis, prognosis, Magnetic resonance imaging 500 504 http://caspjim.com/browse.php?a_code=A-10-226-3&slc_lang=en&sid=1 Roghayeh Pourkia dr.pourkia@yahoo.com 100319475328460031292 100319475328460031292 No Department of Cardiology, Babol University of Medical Sciences, Babol, Iran Ghasem Faghanzadeh Ganji ghf.ganji@gmail.com 100319475328460031293 100319475328460031293 No Department of Cardiac Surgery, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran Mohsen Vakili Sadeghi mohssenvakili@yahoo.com 100319475328460031294 100319475328460031294 No Cancer Research Center, Babol University of Medical Sciences, Babol, Iran Naghmeh Ziaie ziaiexn@yahoo.com 100319475328460031295 100319475328460031295 No Department of Cardiology, Babol University of Medical Sciences, Babol, Iran Nahid Rezaeian nahid6069@yahoo.com 100319475328460031296 100319475328460031296 No Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Faezeh Dehghani-Tafti dr_fdt@yahoo.com 100319475328460031297 100319475328460031297 No Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Hossein Ghorbani hs.ghorbani@mubabol.ac.ir 100319475328460031298 100319475328460031298 No Pathology department, Babol University of Medical Sciences, Babol, Iran Mohammad Mostafa Ansari Ramandi dr.mm.ansari@gmail.com 100319475328460031299 100319475328460031299 Yes Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran