Metastatic adenocarcinoma involving the right ventricle and pulmonary artery leading to right heart failure

case report

Authors

  • Turgut Karabag Istanbul Education and Research Hospital
  • Caner Arslan Istanbul Education and Research Hospital
  • Turab Yakısan Istanbul Education and Research Hospital
  • Aziz Vatan Istanbul Education and Research Hospital
  • Duygu Sak Istanbul Education and Research Hospital

Keywords:

Neoplasm metastasis, Adenocarcinoma, Echocardiography, Heart failure, Pulmonary artery

Abstract

CONTEXT: Obstruction of the right ventricular outflow tract due to metastatic disease is rare. Clinical recognition of cardiac metastatic tumors is rare and continues to present a diagnostic and therapeutic challenge. CASE REPORT: We present the case of a patient who had severe respiratory insufficiency and whose clinical examinations revealed a giant tumor mass extending from the right ventricle to the pulmonary artery. We discuss the diagnostic and therapeutic options.CONCLUSION: In patients presenting with acute right heart failure, right ventricular masses should be kept in mind. Transthoracic echocardiography appears to be the most easily available, noninvasive, cost-effective and useful technique in making the differential diagnosis.

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Author Biographies

Turgut Karabag, Istanbul Education and Research Hospital

MD. Associate Professor, Department of Cardiology, Istanbul Education and Research Hospital, Istanbul, Turkey.

Caner Arslan, Istanbul Education and Research Hospital

MD. Associate Professor, Department of Cardiovascular Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.

Turab Yakısan, Istanbul Education and Research Hospital

MD. Resident Physician, Department of Cardiology, Istanbul Mehmet Akif Ersoy Education and Research Hospital, Istanbul, Turkey.

Aziz Vatan, Istanbul Education and Research Hospital

MD. Resident Physician, Department of Emergency Medicine, Istanbul Education and Research Hospital, Istanbul, Turkey.

Duygu Sak, Istanbul Education and Research Hospital

MD. Resident Physician, Department of Internal Medicine, Istanbul Education and Research Hospital, Istanbul, Turkey.

References

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Published

2018-06-07

How to Cite

1.
Karabag T, Arslan C, Yakısan T, Vatan A, Sak D. Metastatic adenocarcinoma involving the right ventricle and pulmonary artery leading to right heart failure: case report. Sao Paulo Med J [Internet]. 2018 Jun. 7 [cited 2025 Mar. 9];136(3):262-5. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1263

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Section

Case Report