Left atrial metastasis presenting as recurrent embolic strokes.
Tumour emboli from an endocardial metastasis of an endometrial stromal sarcoma caused recurrent and ultimately fatal strokes in a woman of 40. Endocardial metastases are rare. They are known to embolise to the pulmonary and systemic arteries but not to cause recurrent cerebral emboli.
D000328:Adult; D004699:Endocardium; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000556:secondary*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology*; D009360:Neoplastic Cells, Circulating; D012008:Recurrence; D012509:Sarcoma / Q000556:secondary*; D014594:Uterine Neoplasms