Intractable obstructive shock as a result of isolated cardiac metastases: a case report.

Abstract:

:Cardiac metastases are uncommon and difficult to diagnose clinically; thus, they are most often found only at autopsy. Here we present a case of isolated right atrial cardiac metastasis found 7 weeks after the resection of the primary tumor, which was an adenocarcinoma of the lung. The patient presented with intractable obstructive shock, caused by a ball-valve effect of the atrial lesion that prevented forward blood flow from the right atrium. Computed tomography (CT) scans and echocardiograms failed to detect the lesion, and the patient died 2 weeks later. An autopsy revealed a large, isolated right atrial metastatic adenocarcinoma.

journal_name

Int Surg

journal_title

International surgery

authors

Mailapur R,Khaneja SC,Schein M,Gerst PH

keywords:

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

198-200

issue

3

eissn

0020-8868

issn

2520-2456

journal_volume

86

pub_type

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