Arq. Bras. Cardiol. 2022; 119(6): 991-995
Intracardiac Metastasis of Colonic Adenocarcinoma 12 Years After Primary Tumor Control and Without Any Sign of Other Metastasis: A Case Report
Isabela Galizzi Faé
, Gabriela Zamunaro Lopes Ruiz
, Gustavo Palmer Irffi
, Robson de Souza Almeida Junior
, Pedro Anjos Conceição
, Eduardo Belisario Falchetto
, Luiz Guilherme Passaglia
, Geraldo Brasileiro Filho
, Cláudio Leo Gelape
, Clara Rodrigues Alves de Oliveira
Introduction
Thrombus, vegetation and tumor are the main diagnoses for intracardiac masses. Malignant cardiac tumors are rare and cardiac metastasis are around 20 times more frequent than primary tumors. Cardiac metastases originate from lymphatic or blood dissemination, mediastinum direct invasion or tumoral growth inside inferior vena cava or pulmonary veins– and can lead to obstruction of the right or left outflow or inflow tract or arrhythmias. Frequently, symptoms are similar to other prevalent cardiovascular diseases, such as dyspnea, chest pain, palpitations and edema, but sometimes a cardiac mass is found out incidentally during an image exam performed for an unrelated indication. We aim to describe an uncommon case of intracardiac metastasis from colonic adenocarcinoma 12 years after the end of the primary tumor treatment.
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