Right ventricular metastatic choriocarcinoma obstructing inflow and outflow tract.
We operated on a 34-year-old man with a metastatic tumor that extended from the tricuspid valve to the pulmonary valve and obstructed the right ventricle inflow and outflow tracts. The tumor was removed with preservation of the tricuspid valve. Additional chemotherapy was carried out according to the BEPO (etoposid, eisplatin, bleomycin, vincritin) scheme. Histology revealed metastasis of a choriocarcinoma originating from the right testis. Computed tomography performed after 6 months detected no metastases in the lungs. Magnetic resonance imaging showed a thickened right ventricle free wall and apex. The patient is doing well 18 months postoperatively.
Gersak
Borut
B
Department of Cardiovascular Surgery, Center for Intensive Internal Medicine, University Medical Center, Ljubljana, Slovenia. borut.gersak@maat.si
Lakic
Nikola
N
Gorjup
Vojka
V
Gulic
Tanja
T
Berden
Pavle
P
Cernic
Natasa Suligoj
NS
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D001761:Bleomycin / Q000008:administration & dosage; D017024:Chemotherapy, Adjuvant; D002822:Choriocarcinoma / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D005047:Etoposide / Q000008:administration & dosage; D006338:Heart Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D014750:Vincristine / Q000008:administration & dosage
D001761:Bleomycin; D014750:Vincristine; D005047:Etoposide; D002945:Cisplatin