Metastatic adenocarcinoma involving the right ventricle and pulmonary artery leading to right heart failure: case report

Author:

Karabag Turgut1,Arslan Caner2,Yakisan Turab3,Vatan Aziz1,Sak Duygu1

Affiliation:

1. Istanbul Education and Research Hospital, Turkey

2. Cerrahpasa Medical School, Turkey

3. Istanbul Mehmet Akif Ersoy Education and Research Hospital, Turkey

Abstract

ABSTRACT CONTEXT: Obstruction of the right ventricular outflow tract due to metastatic disease is rare. Clinical recognition of cardiac metastatic tumors is rare and continues to present a diagnostic and therapeutic challenge. CASE REPORT: We present the case of a patient who had severe respiratory insufficiency and whose clinical examinations revealed a giant tumor mass extending from the right ventricle to the pulmonary artery. We discuss the diagnostic and therapeutic options. CONCLUSION: In patients presenting with acute right heart failure, right ventricular masses should be kept in mind. Transthoracic echocardiography appears to be the most easily available, noninvasive, cost-effective and useful technique in making the differential diagnosis.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

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2. A 60-year-old man with a malignant tumor of the upper airway and unexplained respiratory failure;Ewald Jr FW;Chest,1997

3. Neoplasms metastatic to the heart: review of 3314 consecutive autopsies;Abraham KP;Am J Cardiovasc Pathol,1990

4. Successful resection of intracardiac invasive thymoma with right ventricular inflow tract occlusion;Hayashi S;Intern Med,2000

5. Large right ventricular myxoma in a 79-year-old male;Soejima Y;Intern Med,1996

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