Abstract

Left ventricular metastases from renal cell carcinoma without vena caval or right atrial involvement are extremely rare. Herein, we present the case of a 69-year-old man who had undergone radical nephrectomy for renal cell carcinoma in 1984. Eighteen years thereafter, we discovered metastatic disease in his left ventricle. When the metastasis was identified, the patient had no symptoms other than shortness of breath. He underwent surgical removal of a highly vascular mass from the left ventricular wall and resection of a nodule in the upper right pulmonary lobe. Upon pathologic examination, both tumors were metastatic renal cell carcinomas. The patient recovered uneventfully and was free of cardiac recurrence more than 6 years after the surgery. We describe our treatment of this patient and discuss some current approaches to the treatment of renal cell carcinoma that has metastasized to the heart.

Original languageEnglish (US)
Pages (from-to)48-49
Number of pages2
JournalTexas Heart Institute Journal
Volume36
Issue number1
StatePublished - 2009

Keywords

  • Carcinoma, renal cell/complications/pathology/secondary/surgery
  • Coronary disease/etiology/surgery
  • Heart neoplasms/diagnosis/secondary
  • Heart ventricles
  • Neoplasm invasiveness
  • Time factors
  • Treatment outcome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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