title: Cardiac and hepatic seed implant embolization after prostate brachytherapy.
abstract: Prostate brachytherapy seed implants occasionally embolize to lungs because of their small size. They may lodge in the right cardiac cavities before reaching the pulmonary arteries and lungs. A rare instance of seed migration to the coronary artery through an existing right-to-left cardiac shunt or patent foramen ovale has also been reported. I present a case of seed implant relocation to the heart and left hepatic lobe by way of presumed different venous pathways represented by the periprostatic and hemorrhoidal venous plexuses, respectively.
authors.affiliation: Department of Radiology, Mayo Clinic Scottsdale, Scottsdale, Arizona 85259, USA. nguyen.ba@mayo.edu
authors.forename: Ba D
authors.initials: BD
authors.lastname: Nguyen
mesh_terms: D000368:Aged; D001918:Brachytherapy / Q000009:adverse effects* / Q000295:instrumentation*; D004617:Embolism / Q000209:etiology*; D005548:Foreign-Body Migration / Q000209:etiology*; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D008297:Male; D011471:Prostatic Neoplasms / Q000532:radiotherapy