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European Heart Journal 1984 5(8):684-688;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

Solitary tumour metastasis: a rare cause of right ventricular outflow tract obstruction and sudden death

M. S. NORELL*, R. SARVASVARAN{dagger} and G. C. SUTTON{ddagger},

*Cardiac Department, London Chest Hospital Bonner Road, London E2
{dagger}Department of Forensic Medicine, Charing Cross Hospital Medical School Fulham Palace Road, London W6
{ddagger}Cardiac Department, Hillingdon Hospital Uxbridge, Middlesex, U.K.

Received 26 January 1984; revised 4 May 1984; .

Address for correspondence Dr George C Sutton. Cardiac Department, Hillingdon Hospital, Uxbridge. Middlesex UB8 3NN, England.

Abstract

The clinical features of a patient presenting with recent breathlessness indicated right ventricular outflow tract obstruction, while echocardiography suggested the presence of tumour in the right ventricle. Before further investigations could be instituted, she died suddenly. Autopsy revealed a haemopericardium secondary to rupture of the right atrium while the right ventricle was found to contain a tumour arising from most of its endocardial surface. Histology showed this to be a poorly differentiated mucous secreting carcinoma similar in appearance to her colonic carcinoma excised 8 years previously. There was no other evidence of metastatic disease.

Key Words: Cardiac tumour • echocardiography


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