title: Intracardiac metastasis from germ cell testicular tumor.
abstract: Intracardiac metastases of germ cell testicular tumors are not commonly seen in clinical practice. The clinical presentation of right-sided heart metastases ranges widely. Depending upon its size and intracardiac location, it could be highly symptomatic, leading to a congestive heart failure, pulmonary embolism, and death, or completely asymptomatic. Improved imaging techniques and treatment strategies demonstrate that right-sided heart metastasis should be considered a potentially dangerous but treatable disease. Presented is the case of a 24-year-old man with a testicular nonseminomatous germ cell tumor, which after metastasizing in the right atrium differentiated into a teratoma and resulted in an inflow obstruction of the right ventricle.
authors.affiliation: Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, University of Novi Sad, Institutski put 4, 21204, Sremska Kamenica, Serbia. jonjevz@nscable.net
authors.forename: Z S
authors.initials: ZS
authors.lastname: Jonjev
authors.forename: J
authors.initials: J
authors.lastname: Rajić
authors.forename: M
authors.initials: M
authors.lastname: Majin
authors.forename: D
authors.initials: D
authors.lastname: Donat
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000556:secondary*; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000150:complications* / Q000175:diagnosis*; D013736:Testicular Neoplasms / Q000150:complications* / Q000175:diagnosis*; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis / Q000209:etiology*