Author/Authors :
Faramarzi, Negar Department of Medicine - Presence Saint Francis Hospital, Evanston, USA , Sohal, Sumit Department of Medicine - Presence Saint Francis Hospital, Evanston, USA , Habibi, Roshanak Department of Medicine - Presence Saint Francis Hospital, Evanston, USA , Sikander Akbar, Muhammad Department of Medicine - Presence Saint Francis Hospital, Evanston, USA
Abstract :
Cardiac tumors are a rare phenomenon, and most cases are secondary to metastatic cancers rather than primary tumors. Renal cell
carcinoma (RCC) is notorious for metastasis to cardiac tissue. Tumor thrombus migration to the renal vein and inferior vena cava
happens in up to 10% of patients with RCC. Transitional cell carcinomas are another form of renal cancer, which may metastasize
to the heart and are associated with widespread metastasis. Here, we report a patient with a past medical history of metastatic
transitional cell cancer of renal pelvis under treatment with checkpoint inhibitor therapy presenting with shortness of breath.
He had disseminated metastasis to bones, pleural space, lungs, and muscles. A large mass was found in the interatrial septum
with invasion to the right and left atrium. The mass had a cystic component protruding into the left atrium. He passed away a
few days after presentation.
Keywords :
Complex Cardiac Mass , Interatrial , Septum , Kidney Cancer