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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 December;39(6):811-2

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Metastatic renal cell carcinoma invading right ventricular myocardium without caval involvement

Santo-Tomas M., Mahr N. C., Robinson M. J.*, Agatston A. S.

From the Division of Cardiology and Department of Pathology and *Laboratory Medicine Mount Sinai Medical Center of Greater Miami University of Miami School of Medicine Miami Beach, Florida, USA


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We exam­ined a 56-year-old man who pre­sent­ed ­with dysp­nea and low­er extrem­ity ede­ma. A 2-D ech­o­car­di­o­gram ­showed a ­large ­mass with­in the ­right ven­tri­cle ­which ­spared the ­right atri­um and the infe­ri­or ­vena ­cava. Pathologic eval­u­a­tion iden­ti­fied a ­renal ­cell car­ci­no­ma ­with sar­com­a­toid fea­tures. The ­tumor had metas­ta­sized to and invad­ed the ­right ven­tric­u­lar myo­car­di­um with­out ­right atri­al or ­caval involve­ment. This pat­tern of metas­ta­ses is ­rare and sug­gests ­that ­this ­tumor’s aggres­sive ­nature con­trib­ut­ed to the ­degree of myo­car­dial inva­sion as ­well as the ­patient’s rap­id ­demise.

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