Metastatic ocular melanoma to the left ventricle inducing near-syncope attacks in an 84-year-old woman

Raymond T. Rosario, Dominick J. DiMaio, Rosanna L. Lapham, Michael Sweeney, Richard Smalling, Eddy Barasch

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Cardiac tumors may represent mechanical causes for syncope by limiting left ventricular filling and/or by obstructing the left ventricular outflow tract. Malignant melanoma is known to metastasize to the myocardium or pericardium, but there are only a very limited number of reports describing endocardial involvement by the tumor. We describe herein an 84-year-old woman who presented with daily near-syncope episodes, 9 years after treatment for a choroidal melanoma. The echocardiography and the pathologic examination revealed a metastatic melanoma. This is the first reported case of an ocular melanoma metastasizing to the heart and presenting as a left ventricular intracavitary pedunculated mass.

Original languageEnglish (US)
Pages (from-to)551-553
Number of pages3
JournalChest
Volume118
Issue number2
DOIs
StatePublished - 2000
Externally publishedYes

Keywords

  • Echocardiography
  • Near-syncope
  • Ocular melanoma
  • Surgery

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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