Cardiac metastasis from a transitional cell carcinoma: a case report |
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| Authors: | W-C Lin MJ Telen |
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| Affiliation: | (1) Divisions of Medical Oncology and Hematology, Department of Medicine, Duke University Medical Center, Box 3054, 27710 Durham, NC, USA |
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| Abstract: | We report the case of a patient with a metastatic tumor in the right ventricle, apparently derived from a transitional cell carcinoma. The patient presented with severe hypoxemia as a result of right-to-left shunt due to the position of the tumor and a patent foramen ovale. The clinical course of this case is presented and the pathophysiology of the physiological effects caused by the metastatic tumor is discussed. The literature concerning cardiac metastases is reviewed. |
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| Keywords: | transitional cell carcinoma right ventricle metastasis patent foramen ovale right-to-left shunt low cardiac output disseminated intravascular coagulopathy |
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