Unconventional Path to Healing

Abstract

A 58-year-old male patient with incessant ventricular tachycardia was referred to cardiac magnetic resonance for scar assessment. He was found to have metastatic amelanotic melanoma of the heart. The cardiac magnetic resonance–based diagnosis of cardiac malignancy critically altered the subsequent clinical management. There was a marked response to immunotherapy as evidenced by follow-up imaging studies. ( Level of Difficulty: Intermediate. )

Never Too Old: A Nonagenarian With Apical Hypertrophic Cardiomyopathy

“…Metastatic tumors to the heart, particularly metastatic melanoma with cardiac metastasis to the apex, can sometimes masquerade as apical hypertrophy. 11 The presence of T-wave inversions in the old ECG in 2007 and the positive family history of ApHCM in the patient's daughter supported the diagnosis of ApHCM in this case.…”