title: Metastatic breast cancer with right ventricular erosion.
abstract: Cancer that has metastasized to the heart and pericardium has a dismal outcome. Individualized treatment to preserve the quality of life and reduce surgical mortality is important. We describe a 57-year old woman who had a recurrence of breast cancer 23 years after the initial complete treatment. Cardiac metastasis with poor anterior chest wall healing led to right ventricular rupture, which caused hypovolaemic shock. The right ventricular wall defect was repaired with a percutaneous patch and a myocutaneous flap without cardiopulmonary bypass. The patient was discharged home after intensive wound care. Our patient shows that even with complete initial treatment, clinicians should be alert for the recurrence of breast cancer.
authors.affiliation: Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Wei-Han
authors.initials: WH
authors.lastname: Chou
authors.affiliation: Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Nai-Hsin
authors.initials: NH
authors.lastname: Chi
authors.affiliation: Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Yi-Chia
authors.initials: YC
authors.lastname: Wang
authors.affiliation: Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan tee.ntuh@gmail.com.
authors.forename: Chi-Hsiang
authors.initials: CH
authors.lastname: Huang
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D006341:Heart Rupture; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged
keywords: Cardiac metastasis; Cardiac rupture; Recurrent breast cancer