@article {Pacha271, author = {Homam Moussa Pacha and Mohamad Soud and M. Chadi Alraies}, title = {Beyond Beck{\textquoteright}s Triad: A Rare Cause of Cardiac Tamponade and Hemoptysis}, volume = {18}, number = {3}, pages = {271--273}, year = {2018}, doi = {10.31486/toj.17.0081}, publisher = {Ochsner Journal}, abstract = {Background: Primary cardiac angiosarcoma (CAS) is a rare tumor with a dismal prognosis. Many patients present with noncardiac symptoms related to metastatic disease that could delay the diagnosis and deteriorate the outcome.Case Report: A 36-year-old male presented with hemoptysis. Initial imaging and biopsies were inconclusive, but a repeat transthoracic echocardiogram to evaluate the patient{\textquoteright}s pericardial effusion showed a mass inferior to the right atrium and invading the wall. Biopsy results from 3 different sites confirmed the diagnosis of CAS. However, the patient{\textquoteright}s course was complicated with respiratory failure that ultimately led to his death. Autopsy demonstrated CAS involving the full thickness of the right atrium and pericardial tissue, with a diffuse metastatic process involving the lung, brain, and stomach.Conclusion: The case highlights the importance of having an increased level of suspicion for cardiac malignancy among young patients presenting with noncardiac symptoms.}, issn = {1524-5012}, URL = {https://www.ochsnerjournal.org/content/18/3/271}, eprint = {https://www.ochsnerjournal.org/content/18/3/271.full.pdf}, journal = {Ochsner Journal} }