[Complete atrioventricular block due to cardiac metastasis from bladder cancer: case report].
A 72-year-old woman was diagnosed with bladder cancer (cT3bN0M0). After 2 cycles of GC (gemcitabine，cisplatin) neoadjuvant chemotherapy, the patient underwent a cystectomy and ileal conduit construction. Pathological findings showed urothelial carcinoma, high grade, G2＞G3, pT3a, INFβ, ly0, v1. Six months after the operation, metastases to the liver, lung, left adrenal gland, rib, multiple lymph nodes, and peritoneum were revealed. Under palliative care, she suffered from palpitation and general fatigue. Electrocardiogram findings showed a complete atrioventricular block, while echocardiography and computed tomography revealed cardiac metastasis. We diagnosed her with complete atrioventricular block due to cardiac metastasis from bladder cancer. She died 7 days after onset of the complete atrioventricular block without use of a pacemaker.
The Department of Urology, Hyogo Prefectual Nishinomiya Hospital.
Norichika
N
Ueda
The Department of Urology, Hyogo Prefectual Nishinomiya Hospital.
Masataka
M
Kawamura
The Department of Urology, Hyogo Prefectual Nishinomiya Hospital.
Shigeaki
S
Nakazawa
The Department of Urology, Hyogo Prefectual Nishinomiya Hospital.
Toshiaki
T
Hirai
The Department of Urology, Hyogo Prefectual Nishinomiya Hospital.
Hidefumi
H
Kishikawa
The Department of Urology, Hyogo Prefectual Nishinomiya Hospital.
Kenji
K
Nishimura
The Department of Cardiovascular Medicine, Hyogo Prefectual Nishinomiya Hospital.
Keisuke
K
Morimoto
D000368:Aged; D054537:Atrioventricular Block / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000556:secondary*; D006801:Humans; D001749:Urinary Bladder Neoplasms / Q000473:pathology*