исследовательский институт кардиологии»; 634012, Томская обл., г. Томск, ул. Киевская, 111a, Российская Федерация 2 ГБОУ ВПО «Сибирский государственный медицинский университет» Минздрава России; 634050, Томская обл., г. Томск, Московский тракт, 2, Российская Федерация 3 ФГБУН «Институт мониторинга климатических и экологических систем» Сибирского отделения Российской академии наук; 634055, Томская обл., г. Томск, пр. Академический, 10/3, Российская Федерация 4 ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»; 129110, г. Москва, ул. Щепкина, 61/2, Российская Федерация Шипулин Владимир Митрофановичд-р мед. наук, профессор, заслуженный деятель науки Российской Федерации, руководитель отделения сердечнососудистой хирургии 1

Metastases to the heart are extremely rare, and the reported incidence of cardiac metastasis at autopsy ranges from 1.5 to 21.8  %. In cancer patients, cardiac metastases are usually difficult to  diagnose unless the patients do not complain of any related  symptoms. Common tumors with cardiac metastasis potential are  usually carcinomas of the lung, breast, and malignant lymphoma.  The prognosis of a metastatic heart tumor is unfavorable. The  average life expectancy for patients with this diagnosis is less than  six months. In addition, surgical treatment of primary cardiac tumors or metastatic cardiac tumors is associated with high risk of  perioperative lethality. Case report. We present a rare case of  cervical cancer metastasis to the heart in a 33-year-old woman.  Cytological examination revealed no evidence of disease recurrence  14 months after the completion of external beam radiotherapy.  Echocardiography showed a mass in the outflow tract of the right ventricle and findings of severe pulmonary hypertension.  omputed tomography and magnetic resonance imaging revealed a  large right ventricular thrombus. The patient underwent surgery with  artificial circulation. Pathohistological and immunohistochemical studies revealed metastasis of squamous cell carcinoma. The control  echocardiography showed decrease in pulmonary hypertension. No  evidence of right ventricular mass was detected. Conclusion. Cardiac metastasis should be included in the differential diagnosis in patients with complaints of dyspnea and chest pain, especially in cases with history of cancer. Surgical treatment of cardiac metastasis  contributes to the prevention of cardiopulmonary complications and  improvement of survival rates in this group of patients.