Abstract
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.
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DL Glancy WC Roberts (1968) ArticleTitleThe heart in malignant melanoma A study of 70 autopsy cases. Am J Cardiol 21 555–571 Occurrence Handle1:STN:280:DyaF1c3ktFWitA%3D%3D
EC Klatt DR Heitz (1990) ArticleTitleCardiac metastasis Cancer 65 1456–1459 Occurrence Handle1:STN:280:DyaK3c7mslKitw%3D%3D Occurrence Handle2306690
P Savoia MT Fierro A Zaccagna et al. (2000) ArticleTitleMetastatic melanoma of the heart J Surg Oncol 75 203–207 Occurrence Handle1:STN:280:DC%2BD3M%2FltValsw%3D%3D Occurrence Handle11088053
C Chiles PK Woodard FR Gutierrez et al. (2001) ArticleTitleMetastatic involvement of the heart and pericardium: CT and MR imaging Radiographics 21 439–449 Occurrence Handle1:STN:280:DC%2BD3M7mt1agsA%3D%3D Occurrence Handle11259706
BF Waller JS Gottdiener R Virmani et al. (1980) ArticleTitleThe ‘charcoalheart’; melanoma to the cor Chest 77 671–676 Occurrence Handle1:STN:280:DyaL3c7ls1aiuw%3D%3D Occurrence Handle7363689
SM Hanfling (1960) ArticleTitleMetastatic cancer to the heart: review of the literature and report of 127 cases Circulation 22 474–483 Occurrence Handle1:STN:280:DyaF3c%2FjtVOmsg%3D%3D Occurrence Handle13711211
SB Labib EC Jr Schick J Isner (1992) ArticleTitleObstruction of right ventricular outflow tract caused by intracavitary metastatic disease: an analysis of 14 cases J Am Coll Cardiol 19 1664–1668 Occurrence Handle10.1016/0735-1097(92)90634-Y Occurrence Handle1:STN:280:DyaK383ns1OjtQ%3D%3D Occurrence Handle1593064
RH Chen CM Gaos OH Frazier (1996) ArticleTitleComplete resection of right atrial intracavitary metastatic melanoma Ann Thorac Surg 61 1255–1257 Occurrence Handle1:STN:280:DyaK287ot1ahug%3D%3D Occurrence Handle8607700
G Messner MT Harting P Russo et al. (2003) ArticleTitleSurgical management of metastatic melanoma to the ventricle Texas Heart Inst J 30 218–220
DM Merer JP Dutcher A Mercando et al. (1994) ArticleTitleClinical findings and successful resection of melanoma metastatic to the right atrium Cancer Invest 12 409–413 Occurrence Handle1:STN:280:DyaK2czgs1agug%3D%3D Occurrence Handle8032963
G Prabhakar A Vasilakis RC Hill et al. (1998) ArticleTitleRight atrial metastatic melanoma in a patient with transient ischemic attacks Ann Thorac Surg 65 844–846 Occurrence Handle1:STN:280:DyaK1c7os1ClsQ%3D%3D Occurrence Handle9527233
U Hake S Iversen FX Schmid et al. (1989) ArticleTitleUrgent indications for surgery in primary and secondary cardiac neoplasms Scand J Thorac Cardiovasc Surg 23 111–114 Occurrence Handle1:STN:280:DyaL1Mzhsleluw%3D%3D Occurrence Handle2749206
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Houmsse, M., Raman, S.V., Leier, C.V. et al. Metastatic melanoma of the left ventricle: Cardiac imaging in the diagnosis and surgical approach. Int J Cardiovasc Imaging 20, 523–526 (2004). https://doi.org/10.1007/s10554-004-2782-2
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DOI: https://doi.org/10.1007/s10554-004-2782-2