# The bleeding heart: A case of cardiac angiosarcoma presenting with pulmonary hemorrhage and hemoptysis

## TL;DR

A rare heart tumor caused lung bleeding in a 48-year-old man, showing the importance of considering this condition in similar cases.

## Contribution

This case report adds to the limited literature on cardiac angiosarcoma and its presentation with pulmonary symptoms.

## Key findings

- The patient presented with hemoptysis and pulmonary hemorrhage due to cardiac angiosarcoma.
- The tumor originated from the heart and spread to the lungs.
- The case emphasizes the need for awareness of this rare cancer in diagnostic evaluations.

## Abstract

Primary cardiac angiosarcoma is an extremely rare and aggressive tumor that originates from the endothelial lining of cardiac blood vessels. We report a case of a 48-year-old man with history of military burn pit exposure, who presented with shortness of breath, cough, and hemoptysis. He was treated as a case of pneumonia, later he developed a diffuse pulmonary hemorrhage, and the etiology of his symptoms was found to be cardiac angiosarcoma with lung involvement. This case highlights the important clinical, radiological, and pathological characteristics of a rare cancer that commonly spreads to the lungs, urging healthcare providers to keep it in mind when diagnosing hemoptysis and pulmonary hemorrhage.