A multimodality imaging approach to multifocal intracardiac masses

Abstract

The authors expose a case report of a 75-year-old woman admitted due to syncope and history of endometrial sarcoma. Echocardiography at hospital admission revealed two cardiac masses (in the right atrium [32×38 mm] and the other in the left ventricle [42×32 mm]), both with mobility and causing dynamic obstruction of the tricuspid valve and left ventricular outfl ow tract. Metastatic lesions were promptly suspected, considering the previous history, and an approach based on multimodality cardiovascular imaging was performed for differential diagnosis. Endometrial stromal sarcomas are rare tumors of the uterus corresponding to 0.2–1% of all uterine malignancies. Intracardiac metastasis from endometrial stromal sarcoma is a rare fi nding. The majority of reported metastasis is to the right side of the heart, being this case report a rare case of left chamber involvement. Klíčová