title: A rare case of direct tumor extension to the right ventricle.
abstract: We report the case of a 72-year-old woman with signs of pulmonary embolism and right heart failure. Echocardiographic imaging and computed tomography revealed a mass within the inferior vena cava reaching from the head of the pancreas to the right ventricle. From standard imaging procedures and clinical findings alone, differentiation of a cardiac thrombus from a metastatic tumor mass was difficult. After resection of the intravascular tumor, histopathologic analysis confirmed a metastasis of primary ductal pancreatic adenocarcinoma. This is a report of a case of mucinous adenocarcinoma of the pancreas reaching the heart by continuous intravascular spreading.
authors: Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany. torsten.baehner@ukb.uni-bonn.de
authors: Torsten
authors: T
authors: Baehner
authors: Ines
authors: I
authors: Guetgemann
authors: Ingo
authors: I
authors: Heinze
authors: Andreas
authors: A
authors: Hoeft
authors: Pascal
authors: P
authors: Knuefermann
authors: Chris
authors: C
authors: Probst
authors: Georg
authors: G
authors: Baumgarten
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000556:secondary*; D000368:Aged; D005260:Female; D006338:Heart Neoplasms / Q000556:secondary*; D006352:Heart Ventricles; D006801:Humans; D010190:Pancreatic Neoplasms / Q000473:pathology*