1.Right Ventriculostomy for Resection of Cardiac Metastasis from Cervical Cancer
Tsugumitsu KANDO ; Hiroshi TSUNEYOSHI ; Shuji SETOZAKI ; Hideyuki KATAYAMA ; Takehide AKIMOTO ; Takanobu KIMURA ; Shuntaro SHIMOMURA ; Takuki WADA ; Akira TAKEUCHI ; Takeru NAKAMURA
Japanese Journal of Cardiovascular Surgery 2023;52(6):412-416
Cardiac metastasis from cervical cancer is rare. We herein present a case involving a 54-year-old woman with cervical cancer who was undergoing radiotherapy for left supraclavicular lymph node metastasis. The patient was admitted to the hospital because of shortness of breath. Transthoracic echocardiography showed a large mass in the right ventricle. To rescue the patient from circulatory collapse, we surgically resected the intracardiac mass via a right ventricular incision parallel to the posterior descending artery and left anterior descending artery. This approach prevented right ventricular outflow tract obstruction and perioperative pulmonary embolization, which could have led to death. The intracardiac mass was diagnosed as squamous cell carcinoma. After hospital discharge, the patient underwent chemotherapy. An echocardiography performed 3 months postoperatively showed recurrence of the cardiac metastasis, and the patient died 5 months later. Cardiac metastasis in the right ventricle can present as pulmonary embolization. Although rare, most cases of metastasis from cervical carcinoma to the heart have an extremely poor prognosis.
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