Ventricular Metastasis without Atrial or Caval Involvement: A Rare Presentation

Right ventricular metastases from renal cell carcinoma without inferior vena cava (IVC) or right atrium involvement are rare. We discuss a 44‐year‐old male who presented with a left thigh mass, which was resected and the pathology revealed an epithelial sarcoma or a possible metastasis from another...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2008-05, Vol.25 (5), p.521-525
Main Authors: Satpathy, Ruby, Lynch, Joseph, Mohiuddin, Syed M.
Format: Article
Language:English
Subjects:
Adult
Carcinoma, Renal Cell - diagnostic imaging
Carcinoma, Renal Cell - secondary
cardiac metastasis
Echocardiography, Transesophageal
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - secondary
Heart Ventricles - diagnostic imaging
Heart Ventricles - pathology
Humans
inferior vena cava
Kidney Neoplasms - pathology
Male
renal cell carcinoma
right atrium
Soft Tissue Neoplasms - secondary
Thigh
ventricular mass
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Summary:Right ventricular metastases from renal cell carcinoma without inferior vena cava (IVC) or right atrium involvement are rare. We discuss a 44‐year‐old male who presented with a left thigh mass, which was resected and the pathology revealed an epithelial sarcoma or a possible metastasis from another organ. His preradiotherapy cardiac evaluation showed mass in the right and left ventricles, which was confirmed by transesophagial echocardiogram. Computed tomography revealed a right renal mass in addition to the ventricular masses without any involvement of IVC or the atria. The patient underwent right radical nephrectomy without complications and systemic chemotherapy with interleukin‐1 for metastatic renal cell carcinoma. He is doing well and follow‐up echocardiogram showed significant reduction in the size of the cardiac metastases, even without surgical resection of these tumors. Thus, our article presents this unique case of asymptomatic ventricular metastases of renal cell carcinoma without any atrial or caval involvement and provides a new insight into the management of this syndrome.
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2008.00634.x