Functional mitral stenosis: imposture of cardiac intimal sar
Published in the journal Cardiology Research, the authors report a case of a 66-year-old female with primary cardiac intimal sarcoma presented with functional mitral stenosis and heart failure.

This case report emphasizes common presentation of a rare disease, and the significance of early diagnosis and timely intervention.

Cardiac intimal sarcomas are extremely rare, remarkably aggressive and least reported type of primary malignant tumors of the heart. Cardiac intimal sarcomas are encountered more commonly in the large arterial blood vessels including pulmonary artery and aorta, and are extremely rare in the heart.

The mainstay of treatment is achievement of tumor-free margins with surgical resection, which is associated with improved survival.

A 66-year-old female with past medical history of hypertension, hyperlipidemia and hypothyroidism presented to the emergency department with complaints of progressive exertional dyspnea for the last couple of months which had worsened in the last 2 days.

She also had associated orthopnea, paroxysmal nocturnal dyspnea (PND) and exercise intolerance. The patient was hemodynamically stable on presentation with blood pressure of 108/75 mm Hg, pulse rate of 98/min, temperature of 97.2 °F, respiratory rate of 16 cycles/min and SpO2 of 98%. Cardiovascular system examination revealed normal S1 and S2 without any murmurs, gallops or rubs with mild jugular venous pressure (JVP) elevation, and respiratory system exam was significant for bilateral crackles.

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