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At least 163 records · Page 9Linked to original sources

Hepatoma with right atrial extension.

The case is described of a 14-year-old boy who had a hepatoma with a right atrial extension. He presented with edema, abdominal pain, and ascites. Two-dimensional echocardiography showed a right atrial tumor that had invaded from the inferior vena cava as an extension into the right atrium of the hepatoma.

Adolescent↗

Intraventricular metastases from rectal-sigmoid adenocarcinoma.

Secondary cardiac tumours are rare. The new diagnostic technology and more effective chemotherapy schedules for primary tumours, leading to a longer survival, have increased the frequency of such tumors. Adenocarcinoma accounted for around 40% of all metastases to the heart; the most frequently involved sites are pericardium and epicardium. We present a patient with an unusual intraventricular metastases from adenocarcinoma of rectal-sigmoid origin.

Adenocarcinoma↗

Metastatic melanoma of the left ventricle: cardiac imaging in the diagnosis and surgical approach.

A mass lesion occupying the left ventricle was noted on a screening CT scan in a 42-year-old man with a history of malignant melanoma. Subsequent echocardiography and cardiac MR imaging provided further hemodynamic and anatomic characterization of the lesion. These studies were also essential in guiding the proper surgical approach to allow extensive resection of the large mass without disrupting cardiac structures and function. The unique clinical aspects of this case are the unusual location for a lone cardiac metastasis of melanoma and the asymptomatic presentation despite the large size of the tumor and its apparent obstruction of ventricular outflow. The clinical and imaging features of this patient's threatening cardiac lesion are presented.

Adult↗

Effusive-constrictive hemodynamic pattern due to neoplastic involvement of the pericardium.

Eight patients with metastatic malignancy of the pericardium who demonstrated the hemodynamics of subacute effusive-constrictive pericarditis were studied. All patients had clinical evidence of cardiac tamponade due to malignant pericardial effusion and were referred for therapeutic pericardiocentesis. In six in whom pericardiocentesis was successfully performed, right atrial pressure remained elevated after pericardiocentesis and return of the intrapericardial pressure to zero; in these patients, hemodynamic data were initially compatible with tamponade but suggested constriction after removal of the pericardial fluid. In the remaining two patients, echocardiography revealed pericardial fluid, but attempted pericardiocentesis was unsuccessful. In these two patients, the hemodynamic data suggested pericardial constriction; subsequent pathologic examination revealed neoplastic involvement of the visceral pericardium. Thus, subacute effusive-constrictive pericarditis, previously recognized as a complication of tuberculosis or mediastinal radiation, may also be due to metastatic malignancy. The syndrome can readily be demonstrated when right heart catheterization is performed in conjunction with pericardiocentesis.

Cardiac Tamponade↗

Right ventricular metastasis of endometrial carcinoma: a case report.

Although between 5 and 20% of cancer deaths have cardiac metastasis at postmortem examination, pelvic malignancy is a seldom-reported primary source. Endometrial carcinoma rarely results in distant metastasis. A patient is described who presented with a large symptomatic right ventricular metastasis 15 months after a total abdominal hysterectomy and bilateral salpingo-oophorectomy for Stage I poorly differentiated adenocarcinoma of the uterine corpus.

Adenocarcinoma↗

Cardiac metastases from osteosarcoma. A report of two cases.

Two children who developed cardiac metastases from osteogenic sarcoma are described, and the value of computed tomography in making an antemortem diagnosis is illustrated. Computed tomographic images with a narrow window width will reveal the presence of calcification within the cardiac metastases. Images in this mode should always be studied in patients with osteogenic sarcoma who are undergoing chest computed tomography scans to detect pulmonary metastases.

Adolescent↗

Solitary right ventricle metastasis by renal cell carcinoma.

A 57-year-old man with a history of renal cell carcinoma presented with presyncope. He underwent nephrectomy years earlier followed by HLA-matched allogeneic peripheral-blood stem-cell transplantation. Echocardiographic investigation revealed a solitary right ventricle mass without contiguous vena caval or right atrial involvement. The mass was pathologically confirmed to be metastatic carcinoma in the right ventricular cavity. This case highlights the need to consider an underlying neoplastic syndrome in patients presenting isolated right ventricle mass by echocardiography.

Carcinoma, Renal Cell↗

Left ventricular intracardiac metastatic germ cell tumor presenting with hemorrhagic cerebrovascular event.

We describe an unusual case of a 26-year-old man admitted with respiratory distress and found to have testicular cancer metastatic to the lung and heart. Twelve days after admission, the patient experienced multiple hemorrhagic strokes. Echocardiography demonstrated testicular cancer metastatic to the septal surface of the left ventricle of the heart with presumed embolization to the cerebrovascular region. The patient received chemotherapy and radiation therapy to the areas of tumor mass with subsequent resolution of tumor burden. This is the first reported case of metastasis from embryonal carcinoma of the testis to the left ventricle of the heart.

Adult↗