Intramyocardial Metastasis To The Left Ventricle From Renal Cell Carcinoma

Süleyman Özkan, Tankut Akay, Bahadır Gültekin, Ahmet Arslan, Atilla Sezgin, Sait Aşlamacı

Department of Cardiovascular Surgery, Başkent University Hospital, Ankara

Cardiac metastasis from renal cell carcinoma is very rare. Coronary bypass operation was planned in a 68-year-old male patient with coronary artery disease. The patient underwent a single nephrectomy because of renal cell carcinoma 12 years before, after which he had been asymptomatic until presentation. Coronary angiography showed a large arteriovenous malformation and calcification in the posterobasal segment of the left ventricle. During coronary bypass operation, an intramyocardial firm mass, 6x8 cm in size, was detected that spread through the posterior segment of the left ventricle. Resection of the mass was not performed and a biopsy specimen was taken, which then showed metastasis from renal cell carcinoma. No further treatment for cancer was considered. The patient was asymptomatic at the end of the first postoperative year and laboratory findings were normal for renal and cardiac functions.

Keywords : Carcinoma, renal cell/secondary; heart neoplasms/secondary; kidney neoplasms

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