Alsallamin I, Quraiba L, Mtour S, Alsallamin A. Cardiac Metastasis Presenting As Right Ventricular Outflow Obstruction.
Cureus 2023;
15:e49720. [PMID:
38161843 PMCID:
PMC10757555 DOI:
10.7759/cureus.49720]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/29/2023] [Indexed: 01/03/2024] Open
Abstract
Right ventricular outflow tract obstruction (RVOTO) is characterized by an increased systolic pressure gradient between the right ventricle (RV) and the pulmonary artery. This rare condition can be diagnosed via echocardiography and may arise from various causes, including cardiac masses, pulmonary atresia with a ventricular septal defect, tricuspid valve thrombus, graft or wire calcification, or a cardiac tumor. We present the case of a 73-year-old male who was hospitalized after a syncope episode. Telemetry detected ventricular arrhythmia. Imaging identified a mass compressing the RV, causing RVOTO. A biopsy of the mass confirmed it as squamous cell carcinoma, which likely originated from the lung as a distant metastasis.
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