This is a case of a female patient with collecting duct carcinoma of the right kidney and myocardial metastasis. On electrocardiogram the myocardial metastasis presented with a prolonged and progressive ST elevation and a gradual decrease of the R wave amplitude in leads V3-V6. Echocardiography and autopsy findings confirmed the diagnosis.
KutalekS.P., PanidisI.P., KotlerM.N., MintzG.S., CarverJ., RossJ.J.: Metastatic tumors of heart detected by two-dimensional echocardiography.Am Heart J,109: 343–349, 1985.
2.
HallR.J., CooleyD.A., McAllisterH.A., FrazierO.H.: Neoplastic heart disease.In: Hurst's the Heart, SchlantR.C., Wayne AlexanderR. (Eds), pp 2007–2029, McGraw-Hill, Inc, New York, 1994.
3.
SafiA.M., RachkoM., SadeghiniaZ., ZineldinA., DongJ., SteinR.A.: Left ventricular intracavitary mass and pericarditis secondary to metastatic renal cell carcinoma - a case report.An-giology,54: 495–498, 2003.
4.
KurzidimK., GnadM., HartmannA., HeldP., RieggerG., ElsnerD.: Cardiac metastasis of plasmacytoma with clinical manifestation of an extensive pulmonary embolism. Obstruction of the right ventricular outflow tract.Dtsch Med Wochenschr,123: 1372–1377, 1998.
5.
HoughtonJ.L., SindenJ.R., GrossC.M.: Acute presentation of pseudo myocardial infarction secondary to metastatic cancer.Am J Med Sci,303: 170–173, 1992.
HartmanR.B., ClarkP.I., SchulmanP.: Pronounced and prolonged ST segment elevation. A pathognomonic sign of tumor invasion of the heart.Arch Intern Med,142: 1917–1919, 1982.
