title: Metastatic renal cell carcinoma. An unusual cause of syncope.
abstract: A 77-year-old man with a history of renal cell carcinoma presented with orthostatic syncope. Investigation revealed metastatic carcinoma in the left lung extending through the pulmonary veins into the left atrium obstructing the mitral orifice. On review of the literature, this case appears to be the first to describe metastatic carcinoma to the left atrium presenting as a primary cause of syncope.
authors.affiliation: Evans Department of Clinical Research, University Hospital, Boston University Medical Center.
authors.forename: R I
authors.initials: RI
authors.lastname: Fogel
authors.forename: G J
authors.initials: GJ
authors.lastname: Balady
authors.forename: M D
authors.initials: MD
authors.lastname: Klein
authors.forename: A
authors.initials: A
authors.lastname: Rajaii-Khorasani
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000556:secondary*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications / Q000556:secondary*; D006801:Humans; D007024:Hypotension, Orthostatic / Q000209:etiology; D007680:Kidney Neoplasms; D008175:Lung Neoplasms / Q000150:complications / Q000556:secondary*; D008297:Male; D013575:Syncope / Q000209:etiology*