Extensive Neoplastic Cardiac Infiltration in a Patient With Acute Myelogenous Leukemia: Role of Echocardiography


Address for correspondence and reprint requests: Smadar Kort, M.D., Associate Director, Echocardiography Lab, North Shore University Hospital, 300 Community Drive, Manhasset, New York 11030. Fax: (516) 562-2352; E-mail: skort123@pol.net


We present the case of a 34-year-old man with a history of relapsed acute myelogenous leukemia with extensive metastatic infiltration of the endomyocardium. Transesophageal echocardiography revealed masses within all the cardiac chambers and associated vascular structures. Biopsy of the superior vena cava mass had the histological features of a granulocytic sarcoma (GS, chloroma). Massive involvement of the heart with GS is very rare, and only a few reports have been published in the literature. (ECHOCARDIOGRAPHY, Volume 20, August 2003)