EC Cardiology

Secondary cardiac tumors are typically associated with an advanced stage of the primary tumor and a poor prognosis. In this report, we describe a case of a 72-year-old patient with pulmonary adenocarcinoma with multiple secondary localizations including a tissular nodule within the wall of the left ventricle of the heart, revealed on computed tomography. This case underscores the potential for left heart invasion by lung cancer and the associated poor prognosis. It highlights the crucial role of comprehensive staging and monitoring for possible cardiac metastases in lung cancer patients, as early detection and effective treatment can substantially enhance patient outcomes.

 Keywords: Cardiac Metastasis; Lung Cancer; Computed Tomography; Diagnosis

1. Dedeilias P., et al. “Deep hypothermia and circulatory arrest in the surgical management of renal tumors with cavoatrial extension”. Journal of Cardiac Surgery 6 (2009): 617-623.
2. Goto T., et al. “Lung adenocarcinoma with peculiar growth to the pulmonary artery and thrombus formation: report of a case”. World Journal of Surgical Oncology 10 (2012): 16.
3. Kozower BD., et al. “Special treatment issues in non-small cell lung cancer: Diagnosis and management of lung cancer, 3^rd ed: American College of Chest Physicians evidence-based clinical practice guidelines”. Chest 5 (2013): e369S-e399S.
4. Boffa DJ., et al. “Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors”. Journal of Thoracic and Cardiovascular Surgery 135 (2008): 247-254.
5. R J Korst and T K Rosengart. “Operative strategies for resection of pulmonary sarcomas extending into the left atrium”. Annals of Thoracic Surgery4 (1999): 1165-1167.
6. Nakagawa K., et al. “Surgical experience of the three cases of lung cancer with polypoid type left atrial infiltration”. The Japanese Association for Thoracic Surgery 10 (1985): 106-112.
7. Klepetko W., et al. “T4 lung tumors with infiltration of the thoracic aorta: is an operation reasonable?” Annals of Thoracic Surgery 2 (1999): 340-344.