| Summary: | A 30-year-old male presented to the emergency department complaining of chest pain. Workup revealed a large cardiac mass causing compression of the cardiac chambers as the cause of his chest discomfort. This mass was subsequently diagnosed as a cardiac synovial sarcoma. Cardiac synovial sarcomas are very rare, primary malignant tumors of the heart, accounting for less than one percent of all cardiac tumors (Lv et al.,2010, Talukder et al., 2010). While only a few cases have been documented in the literature, this particular case demonstrates the importance of the continued work up for etiology of chest pain once more common etiologies like coronary heart disease (CHD) have been excluded, independent of patient age or comorbidities.
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