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European Heart Journal 1994 15(5):708-709;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Adrenal carcinoma with intravenous extension into the tricuspid valvular plane in a patient with patent foramen ovale

M. G. FRIEDRICH, H. DILL, M. UNVERDORBEN, G. ENGELS, H. SCHEELE* and K. BACHMANN

Medizinische Klinik II mit Poliklinik, Herzzentrum der Universität Erlangen/Nürnberg Germany
*Chirurgische Klinik der Universität Erlangen/Nürnberg Germany

Received 20 August 1993; revised 3 December 1993; .

Correspondence Dr Med Matthias G. Friedrich, Medizimsche Klinik II mit Poliklinik, Herzzentrum der Universität Erlangen/Nürnberg, Östliche Stadtmauerstr. 29, 91054 Erlangen, Germany.

Abstract

We report on an adrenal carcinoma growing via the inferior vena cava into the right atrium and prolapsing into the right ventricle. A patent foramen ovale determined the pathophysiological and clinical appearance. Instead of an expected caval congestion the main features were paroxysmal dyspnoea and cyanosis.

The patient was investigated using echocardiography, magnetic resonance tomography and angiography.

Key Words: Adrenal carcinoma • patent foramen ovale • intracardiac tumour


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