Cardiac metastasis of great saphenous vein leiomyosarcoma

J Card Surg. 2020 Aug;35(8):2029-2032. doi: 10.1111/jocs.14744. Epub 2020 Jun 24.

Abstract

We present a case with cardiac metastasis of the great saphenous vein leiomyosarcoma (LMS) that presented to the emergency department with dyspnea and palpitations 2 months ago. In this patient, hemodynamic instability was caused by an extensive right ventricular cavity and outflow tract invasion of the LMS. Treatment of the patient included incomplete mass resection, adjuvant chemotherapy, and permanent pacemaker implantation (due to postoperative complete atrio-ventricular block).

Keywords: echocardiography; leiomyosarcoma; magnetic resonance imaging; right ventricle.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Echocardiography
  • Heart Neoplasms / diagnostic imaging*
  • Heart Neoplasms / pathology
  • Heart Neoplasms / secondary*
  • Heart Neoplasms / surgery
  • Heart Ventricles
  • Humans
  • Leiomyosarcoma / diagnostic imaging*
  • Leiomyosarcoma / pathology
  • Leiomyosarcoma / secondary
  • Leiomyosarcoma / surgery*
  • Magnetic Resonance Imaging
  • Male
  • Saphenous Vein*
  • Tomography, X-Ray Computed
  • Vascular Neoplasms / pathology*