Images in Cardiothoracic Medicine and Surgery
Cardiac metastasis from a primary lung carcinoma
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(9) 1135 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314534253 aan.sagepub.com
Alexander Weymann, Victor Gertner and Ursula Tochtermann
Figure 1. (A) Magnetic resonance imaging of the head demonstrating a cerebral metastasis of the motor cortex with massive perifocal edema (arrow). (B) Magnetic resonance imaging of the heart depicting an ‘‘hourglass-shaped’’ mass in the area of the right atrium, prolapsing through the tricuspid valve (arrow). (C) Transesophageal echocardiography confirming the magnetic resonance imaging findings in the right atrium (arrow). (D) Intraoperative photograph showing the large irregular 6 5-cm large tumor.
A 46-year-old woman presented with left facial palsy. The anamnestic evaluation revealed a right pneumonectomy due to bronchogenic carcinoma. Magnetic resonance imaging of the head and heart and additional transesophageal echocardiography demonstrated suspected metastases (Figure 1). Intraoperatively, the suspicion of a cardiac metastasis was conﬁrmed (Figure 1).
Conflict of interest statement
Corresponding author: Alexander Weymann, MD, Department of Cardiac Surgery, Heart Center, University of Heidelberg, INF 110, 69120 Heidelberg, Germany. Email: [email protected]
This research received no speciﬁc grant from any funding agency in the public, commercial, or not-for-proﬁt sectors.
Department of Cardiac Surgery, Heart Center, University of Heidelberg, Heidelberg, Germany
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