Received Date: 22 January 2018; Accepted Date: 06 February 2018; Published Date: 15 February 2018
Citation: Abdelnaby MH, Almaghraby AM, El-Amin AA (2018) A Case of Pericardial Metastasis: Image Case Report. J Heart Cardiovasc Res. Vol.2 No.1:1
Copyright: © 2018 Abdelnaby MH, et al. This is an open-access article distributed under the terms of the creative Commons attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
A 76-year-old male with a past history of resected cancer colon and a recurrence in the form of hepatic and lung metastases had a Chest X Ray (CXR) which revealed cardiomegaly and referred for echocardiography that revealed a large pericardial mass with pericardial effusion most likely metastatic in nature.
Pericardium; Metastasis; Cancer colon
Although primary cardiac tumors are extremely rare, secondary tumors are not. Theoretically the heart can be metastasized by any malignant neoplasm able to spread to distant sites.
A 76-year-old male patient with past medical history of diabetes, hypertension, ischemic heart disease and chronic renal failure on maintenance hemodialysis and a history of resected adenocarcinoma of the colon 2 years ago with recurrence diagnosed 6 months ago in the form of hepatic and pulmonary metastases had a CXR which revealed cardiomegaly and bilateral pulmonary infiltrates. He was referred for echocardiography which showed a large fleshy pericardial mass attached to the anterior surface of the right atrium and ventricle with anterior pericardial effusion most likely metastatic in nature. Due to his critical condition, no further investigations were done and only supportive and palliative measures were adopted (Figures 1 and 2).
Primary pericardial malignancies are extremely rare . Metastases to the heart and pericardium are much more common than primary cardiac tumors and are generally associated with a poor prognosis . Echocardiography remains the key method for diagnosis of cardiac masses . Advances in other imaging modalities such as Cardiac Magnetic Resonance (CMR) and Cardiac Computed Tomography (CT) are associated with improved tissue characterization with better spatial and temporal resolutions .