title: Recurrent arterial embolization from a metastatic germ cell tumor invading the left atrium.
abstract: Arterial embolization of a malignant tumor is extremely rare. We report an unusual case of a young adult man who presented with acute lower limb ischemia and a mass in the right lung and left atrium. These clinical manifestations were the result of metastases and embolization from a germ cell tumor and were the first indication of malignancy in this patient. The importance of appropriate investigations in the subsequent treatment is stressed.
authors.affiliation: Department of Cardiothoracic Surgery, Hammersmith Hospital, Imperial College School of Medicine, London, England. anjana.singh@ic.ac.uk
authors.forename: A
authors.initials: A
authors.lastname: Singh
authors.forename: D P
authors.initials: DP
authors.lastname: Jenkins
authors.forename: M
authors.initials: M
authors.lastname: Dahdal
authors.forename: S
authors.initials: S
authors.lastname: Dhar
authors.forename: C P
authors.initials: CP
authors.lastname: Ratnatunga
mesh_terms: D000328:Adult; D018240:Endodermal Sinus Tumor / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000473:pathology / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D008297:Male; D009360:Neoplastic Cells, Circulating; D011013:Pneumonectomy; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011667:Pulmonary Veins / Q000473:pathology / Q000601:surgery; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery