Turgut Karabag1, Caner Arslan2, Turab Yakisan3, Aziz Vatan4, Duygu Sak5. 1. MD. Associate Professor, Department of Cardiology, Istanbul Education and Research Hospital, Istanbul, Turkey. 2. MD. Associate Professor, Department of Cardiovascular Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. 3. MD. Resident Physician, Department of Cardiology, Istanbul Mehmet Akif Ersoy Education and Research Hospital, Istanbul, Turkey. 4. MD. Resident Physician, Department of Emergency Medicine, Istanbul Education and Research Hospital, Istanbul, Turkey. 5. MD. Resident Physician, Department of Internal Medicine, Istanbul Education and Research Hospital, Istanbul, Turkey.
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.
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.
Authors: Yu Hao Zeng; Alexander Calderone; Nicolas Rousseau-Saine; Mahsa Elmi-Sarabi; Stéphanie Jarry; Étienne J Couture; Matthew P Aldred; Jean-Francois Dorval; Yoan Lamarche; Lachlan F Miles; William Beaubien-Souligny; André Y Denault Journal: CJC Open Date: 2021-04-09