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Solitary tumour metastasis: a rare cause of right ventricular outflow tract obstruction and sudden death
Authors:NORELL  M S; SARVASVARAN  R; SUTTON  G C
Institution:*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.
Abstract:The clinical features of a patient presenting with recent breathlessnessindicated right ventricular outflow tract obstruction, whileechocardiography suggested the presence of tumour in the rightventricle. Before further investigations could be instituted,she died suddenly. Autopsy revealed a haemopericardium secondaryto rupture of the right atrium while the right ventricle wasfound to contain a tumour arising from most of its endocardialsurface. Histology showed this to be a poorly differentiatedmucous secreting carcinoma similar in appearance to her coloniccarcinoma excised 8 years previously. There was no other evidenceof metastatic disease.
Keywords:Cardiac tumour  echocardiography
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