Solitary right ventricular metastasis of endometrial adenocarcinoma
| Autor: | Christoph Hammerstingl, Georg Nickenig, Fritz W. Horlbeck, Nikos Werner, Joerg O. Schwab |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Coronary angiography
Endometrial adenocarcinoma Chemotherapy medicine.medical_specialty business.industry medicine.medical_treatment Percutaneous coronary intervention Intervention medicine.disease Article Metastasis Tumor recurrence Surgery Right heart failure medicine Cardiac metastasis Cardiology and Cardiovascular Medicine business |
| Popis: | A woman presented with a solitary cardiac metastasis 5 months after curative surgery for endometrial adenocarcinoma (FIGO IB). The tumor was deemed inoperable and palliative ambulatory chemotherapy was initiated. We aimed at a palliative reduction of tumor mass after chemotherapy and atypical vascularization of the metastasis was demonstrated by coronary angiography. We identified two tumor vessels originating from the ramus circumflexus suitable to palliative percutaneous coronary intervention. Within 5 weeks, the initially mild dyspnea increased to New York Heart Association class III and readmission was planned. Regrettably, our patient died from congestive right heart failure only 2 months after diagnosis of tumor recurrence. This report illustrates the need for resolute action without delay even in cases of only mild right heart failure. |
| Databáze: | OpenAIRE |
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