Cardiac metastases from renal cell carcinoma are a well-recognized entity. However, this phenomenon is extremely rare in the absence of vena caval extension. The authors report a patient who after successful resection of renal cell carcinoma presented with left ventricular mass causing left ventricular outflow tract obstruction. There was also metastatic pericardial and intramyocardial involvement. Such a unique combination of cardiac metastasis, in the same patient, has not been reported previously.
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References
1.
Lam KY, Dickens P., Chan Acl: Tumors of the heart. A 20 year experience with review of 12,485 consecutive autopsiesArch Pathol Med117:1027-1031, 1993.
2.
Abraham DP, Reddy V., Gattusa P.: Neoplasms metastatic to the heart: Review of 3,314 consecutive autopsiesAm J Cardiovasc Pathol3:195-198, 1990.
3.
Roberts WC: Primary and secondary neoplasms of the heartAm J Cardiol80:671-682, 1997.
4.
Lund JT, Ehman RL, Julsrud PR, et al: Cardiac masses: Assessment by MR imagingAm J Radiol152:469-473, 1989.
5.
Schellhamer PF, El-Mahdi AM: Renal cell carcinoma with solitary metastases to pericardiumUrology21:399-402, 1983.
6.
Gindea AJ, Gentin B., Naidich DP, et al: Unusual cardiac metastasis in hypernephroma: The complementary role of echocardiography and magnetic resonance imagingAm Heart J116:1359-1361, 1988.
7.
Bradley SM, Bolling SF: Late renal cell carcinoma metastasis to the left ventricular outflow tractAnn Thorac Surg60:204-206, 1995.
