title: Cardiac metastasis from a renal cell carcinoma.
abstract: A 59-year-old man developed an episode of syncope while he was driving. This resulted in a motor vehicle accident, and the patient sustained an open fracture of the left femur. Biopsy of the left femur fracture showed a metastastic renal cell carcinoma, and echocardiography revealed a right ventricular mass without contiguous vena caval or right atrial involvement. This is one of the few reported cases of renal cell carcinoma associated with syncope as an initial symptom.
authors.affiliation: Department of Anesthesia, College of Medicine, University of Manitoba, Winnipeg. mosare@yahoo.com
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: Alghamdi
authors.forename: James
authors.initials: J
authors.lastname: Tam
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary; D002292:Carcinoma, Renal Cell / Q000473:pathology*; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology; D013575:Syncope / Q000209:etiology; D014463:Ultrasonography