Cardiac metastasis of renal pelvic cancer
Article first published online: 10 APR 2007
International Journal of Urology
Volume 14, Issue 3, pages 240–241, March 2007
How to Cite
Murakami, T., Komiya, A., Mikata, K., Kaneko, S. and Ikeda, I. (2007), Cardiac metastasis of renal pelvic cancer. International Journal of Urology, 14: 240–241. doi: 10.1111/j.1442-2042.2007.01512.x
- Issue published online: 10 APR 2007
- Article first published online: 10 APR 2007
- Received 12 July 2005; accepted 14 December 2005.
- acute heart failure;
- cardiac metastases;
- renal pelvic cancer;
- ventricular outflow tract obstruction
Abstract: A 66-year-old man was referred to our hospital with chest discomfort and shortness of breath. Seven months previously he had undergone a laparoscopic left nephroureterectomy for a left renal pelvic tumor and was given two cycles of adjuvant chemotherapy (methotrexate, epirubicin and cisplatin). Echocardiogram showed an 8-mm sized mass extending from the right atrium into the right ventricle. On computed tomography, multiple lung tumors, as well as the right atrial and ventricular mass, were seen. The patient died of acute heart failure caused by right ventricular outflow obstruction. On autopsy, a right atrial and ventricular metastasis of the initial transitional cell carcinoma was found. The patient’s cause of death was acute heart failure as a result of cardiac metastasis of his initial renal pelvic carcinoma.