Right ventricular metastatic choriocarcinoma obstructing inflow and outflow tract

Ann Thorac Surg. 2002 May;73(5):1631-3. doi: 10.1016/s0003-4975(01)03516-0.

Abstract

We operated on a 34-year-old man with a metastatic tumor that extended from the tricuspid valve to the pulmonary valve and obstructed the right ventricle inflow and outflow tracts. The tumor was removed with preservation of the tricuspid valve. Additional chemotherapy was carried out according to the BEPO (etoposid, eisplatin, bleomycin, vincritin) scheme. Histology revealed metastasis of a choriocarcinoma originating from the right testis. Computed tomography performed after 6 months detected no metastases in the lungs. Magnetic resonance imaging showed a thickened right ventricle free wall and apex. The patient is doing well 18 months postoperatively.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bleomycin / administration & dosage
  • Chemotherapy, Adjuvant
  • Choriocarcinoma / diagnosis
  • Choriocarcinoma / drug therapy
  • Choriocarcinoma / secondary*
  • Choriocarcinoma / surgery
  • Cisplatin / administration & dosage
  • Combined Modality Therapy
  • Etoposide / administration & dosage
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / drug therapy
  • Heart Neoplasms / secondary*
  • Heart Neoplasms / surgery
  • Heart Ventricles* / pathology
  • Heart Ventricles* / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Testicular Neoplasms / diagnosis
  • Testicular Neoplasms / drug therapy
  • Testicular Neoplasms / surgery*
  • Ventricular Outflow Obstruction / diagnosis
  • Ventricular Outflow Obstruction / drug therapy
  • Ventricular Outflow Obstruction / surgery*
  • Vincristine / administration & dosage

Substances

  • Bleomycin
  • Vincristine
  • Etoposide
  • Cisplatin

Supplementary concepts

  • BEPV protocol