Metastatic cardiac tumor presenting as atrial fibrillation in a previously healthy woman: A case report.

Abstract:

RATIONALE:Metastatic cardiac tumor (MCT) is rare in clinical practice. MCT presenting initially as atrial fibrillation (AF) is even rarer. PATIENT CONCERNS:We report a 47-year-old woman with no previous medical history presented with intermittent palpitation for 3 days. DIAGNOSES:The electrocardiography showed AF with rapid ventricular rate. The transthoracic echocardiography showed a 4 × 4 cm mass occupying the left atrium (LA). The contrast enhanced computed tomography (CT) showed a left lower lung mass with invasion to the LA and left upper pulmonary vein (PV). The chest CT guided biopsy revealed poorly differentiated squamous cell carcinoma. Further workup including bone scan showed no significant findings. The diagnosis of lung squamous cell carcinoma with cardiac invasion was made. INTERVENTIONS:She went on to received palliative chemotherapy. OUTCOMES:She is being followed up regularly at the outpatient department. LESSONS:Tumor invasion of the LA and PV was thought to be the cause of the AF. This condition is rare, but clinically important. Physicians should be alert that MCT could be an important differential diagnosis in patients presenting with unexplained AF.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Cheng CW,Yang NI,Ng KK,Cherng WJ

doi

10.1097/MD.0000000000007649

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

e7649

issue

31

eissn

0025-7974

issn

1536-5964

pii

00005792-201708040-00016

journal_volume

96

pub_type

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