Echocardiography of cardiac metastases

Mh, Johnson; Rl, Soulen

doi:10.2214/ajr.141.4.677

Cited by 25 publications

(7 citation statements)

References 8 publications

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“…Patients may rarely present with arrhythmias if the tumour is invading the conduction systems causing atrial fibrillation or flutter, atrioventricular block or any variety of bundle blocks 16–18. Echo is the gold standard diagnostic tool, with cardiac CT useful for further characterisation 19. A large, mobile mass attached to an interatrial septum with a narrow stalk can be diagnosed as an atrial myxoma confidently with echo.…”

Section: Discussionmentioning

confidence: 99%

Squamous cell carcinoma of unknown origin metastasising to the right atrium causing acute heart failure

Sladden¹,

Yamagata

Pllaha

et al. 2015

BMJ Case Reports

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We describe a case of metastasis to the heart, which was initially suspected to be a myxoma, causing acute right heart failure. Emergency surgery was carried out by opening the right atrium and superior vena cava, and debulking the tumour in a piecemeal fashion, providing temporary relief of symptoms. The histology showed this to be metastatic squamous cell carcinoma possibly of head and neck origin. This is extremely rare, with few published cases. Full endoscopic and CT, including positron emission tomography CT, investigation of the head and neck was performed with no primary findings. Only two such cases of squamous cell carcinoma of unknown origin metastasising to the heart have been described, and, in both cases, the patients died within several weeks of diagnosis. This patient remains alive 2 months postoperatively and is receiving radiotherapy to the chest, but his prognosis remains poor.

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Section: Discussionmentioning

confidence: 99%

Squamous cell carcinoma of unknown origin metastasising to the right atrium causing acute heart failure

Sladden¹,

Yamagata

Pllaha

et al. 2015

BMJ Case Reports

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“…The CT and MR are imaging techniques, with various sensitivity depending on the size of metastases and their location. The method of choice for the detection of cardiac metastases is two-dimensional echocardiography [18]. In the patient described, the cardiac lesion was first found in the 68 Ga-PET/CT scan in January 2010.…”

Section: Discussionmentioning

confidence: 99%

Nietypowy przypadek przebiegu nowotworu neuroendokrynnego trzustki pod postacią przerzutu do serca — opis przypadku klinicznego

Boratyn-Nowicka

Blicharz-Dorniak

Wachuła

et al. 2014

Endokrynologia Polska

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An atypical course of pancreatic neuroendocrine tumour manifesting as cardiac metastasis -a clinical caseNietypowy przypadek przebiegu nowotworu neuroendokrynnego trzustki pod postacią przerzutu do serca -opis przypadku klinicznego AbstractThis paper presents a ten-year course of the disease in a patient with pancreatic neuroendocrine tumour NEN G1, and with confirmed single, asymptomatic metastasis to the left cardiac ventricle. Initially, the cardiac metastasis was visible only on a positron emission tomography (PET) scan using gallium-68-labelled somatostatin analogue; the sensitivity of an echocardiography scan was lower. Despite the advanced stage of the disease, surgical excision of the cardiac metastasis was performed. The patient underwent a total of eight operations, and received chemotherapy, radiotherapy and somatostatin analogues. Currently, he is on a targeted therapy with everolimus. As a result of the treatment, the patient remains in a good general condition. This is the second described case of cardiac metastasis of PNEN. StreszczenieW pracy przedstawiono 10-letni przebieg choroby u pacjenta z nowotworem neuroendokrynnym trzustki NEN G1, u którego stwierdzono pojedynczy, bezobjawowy przerzut do lewej komory serca. Przerzut do serca widoczny był początkowo jedynie w badaniu pozytronowej tomografii emisyjnej z użyciem analogu somatostatyny znakowanej galem-68 , czułość badania echokardiograficznego była mniejsza. Pomimo zaawansowanej choroby wykonano operacyjne usunięcie przerzutu z serca. W sumie chory był 8-krotnie operowany, otrzymywał chemioterapię, radioterapię oraz analogii somatostatyny, a obecnie prowadzona jest terapia celowana everolimusem. W wyniku zastosowanego leczenia chory pozostaje w dobrym stanie ogólnym. Jest to drugi opisany przypadek z przerzutem PNEN do serca. Stosowanie różnych metod leczenia w przypadku uogólnionego nowotworu neuroendokrynnego trzustki o niskim potencjale proliferacyjnym daje szansę na wydłużenie przeżycia przy zachowaniu dobrej jakości życia.

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“…Echocardiography can define the various patterns of cardiac extension with excellent anatomic correlations [20,21]. Transesophageal echo can provide high quality images of the inferior vena cava and right atrial involvement, and direct the surgeons in the removal of the neoplasm from both sites [8,22].…”

Section: Discussionmentioning

confidence: 99%

Extension of adrenocortical carcinoma into the right atrium – echocardiographic diagnosis: A case report

Rosen

Rozenman

Harpaz

2003

Cardiovasc Ultrasound

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BackgroundAdrenocortical carcinoma is a rare, highly malignant tumor. Cardiac involvement of the tumor is very rare. Echocardiography facilitates the evaluation of the cardiac involvement of the tumor.Case PresentationWe describe a patient with an adrenal tumor. Transthoracic echo showed its extension into the right atrium. Accordingly, a combined abdominal and cardiac operation was performed, monitored by transesophageal echocardiography.ConclusionThis case highlights the importance of echocardiography in revealing the cardiac involvement by this tumor and in planning the operative procedure.

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Echocardiography of cardiac metastases

Cited by 25 publications

References 8 publications

Squamous cell carcinoma of unknown origin metastasising to the right atrium causing acute heart failure

Squamous cell carcinoma of unknown origin metastasising to the right atrium causing acute heart failure

Nietypowy przypadek przebiegu nowotworu neuroendokrynnego trzustki pod postacią przerzutu do serca — opis przypadku klinicznego

Extension of adrenocortical carcinoma into the right atrium – echocardiographic diagnosis: A case report

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