title: Cardiac metastasis due to pulmonary metastasis from a transitional cell carcinoma.
abstract: We report a rare case of symptomatic cardiac metastasis from a transitional cell carcinoma of the renal pelvis diagnosed by echocardiography. A 75-year-old patient with a long history of neoplasm since 1999 and coronary artery disease with CABG in 2003, was admitted to our department. He underwent cardiac surgery using cardiopulmonary bypass with tumor excision. Histologically it was the same type of transitional cell neoplasm which was operated seven years before. We present all medical history, detailed 2D and 3D echocardiography, intraoperative pictures and discuss possible chain of changes from renal pelvis cancer to clinical manifestation of cardiac mass. There is proved a rapid progression of cardiac tumor with clinical manifestation few months after control TEE examination without any evidence of cardiac mass. It is important that this is a very rare case of left heart metastasis from right side of circulatory system through pulmonary stage of cancer progression.
authors.affiliation: Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Medical College of Jagiellonian University, Pradnicka 80, 31-202 Krakow, Poland. dorotasobczyk@yahoo.com
authors.forename: Dorota
authors.initials: D
authors.lastname: Sobczyk
authors.forename: Marcin
authors.initials: M
authors.lastname: Nosal
authors.forename: Jacek
authors.initials: J
authors.lastname: Myc
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Trybowski
authors.forename: Izabela
authors.initials: I
authors.lastname: Gorkiewicz-Kot
authors.forename: Piotr
authors.initials: P
authors.lastname: Olejniczak
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sadowski
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008175:Lung Neoplasms / Q000556:secondary*; D008297:Male; D014463:Ultrasonography