Complete resection of a right atrial intracavitary metastatic melanoma

Chen, Ray H.; Gaos, Carlos M.; Frazier, O. H.

doi:10.1016/0003-4975(95)01038-6

Cited by 35 publications

(17 citation statements)

References 8 publications

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“…In select patients with solitary intracardiac melanoma, surgical resection may provide relief of symptoms. 36,37 Resection of left-sided malignant cardiac tumors is considered to be particularly challenging due to incomplete resection. 38 For complex cardiac tumors, cardiac autotransplantation (e.g.…”

Section: Discussionmentioning

confidence: 99%

An Uncommon Presentation for Cardiac Melanoma

Baykalır¹,

Young²,

Slosky³

et al. 2014

Journal of Patient-Centered Research and Reviews

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Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended Citation An Uncommon Presentation for Cardiac Melanoma AbstractA 66-year-old man with locally advanced malignant melanoma, which was surgically resected, presented with a 3-week history of dizziness, recurrent near-syncopal episodes and generalized weakness. He was found to have sustained polymorphic ventricular tachycardia in the setting of cardiac melanoma. We draw attention to an unusual presentation of malignant melanoma with cardiac metastasis and discuss both its etiology and treatment options. (J Patient-Centered Res Rev. 2014;1:128-132.)

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Section: Discussionmentioning

confidence: 99%

An Uncommon Presentation for Cardiac Melanoma

Baykalır¹,

Young²,

Slosky³

et al. 2014

Journal of Patient-Centered Research and Reviews

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“…1,3 With better anticipated survival with chemotherapy, more such patients will present for surgical resection in the future. With better results with chemotherapy, despite wide-spread metastasis, surgical cure should be offered to all suitable cases.…”

Section: Discussionmentioning

confidence: 99%

“…3 Melanoma is more likely to be present in the right heart chambers. 1 Reports of cardiac metastases have been increasing because of better methods of treating primary tumours and improved survival. 1 There have been a few reports of successful complete and palliative resection of intracardiac metastatic melanomas, from right atrium, right ventricle and the left atrium; [1][2][3][4][5] however, there has been no previous report describing infiltrative metastases to the tricuspid valve with subsequent successful surgical excision.…”

Section: Discussionmentioning

confidence: 99%

“…1 Malignant melanoma can involve any and all chambers of the heart. Isolated metastases can occur; however, more commonly, the metastases are extensive with pericardial, myocardial and endocardial involvement.…”

Section: Discussionmentioning

confidence: 99%

“…1 We recently resected a large intracardiac metastatic malignant melanoma, straddling the tricuspid valve, along with tricuspid valve replacement and coronary bypass grafting. This is the first report describing a metastatic melanoma infiltrating the tricuspid valve with successful surgical excision.…”

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Surgical excision of metastatic malignant melanoma involving the tricuspid valve

Sinha

Curry²,

Venn³

2006

Ann R Coll Surg Engl

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Malignant melanoma is unique in terms of its high incidence of metastases to the heart, ranging from 50-71% in autopsy studies. The high incidence of cardiac melanomas is largely a manifestation of the tumour's propensity to metastasise widely before causing death. Malignant melanoma can involve any and all chambers of the heart. Isolated metastases can occur; however, more commonly, the metastases are extensive with pericardial, myocardial and endocardial involvement. Pure endocardial involvement and valvular involvement is rare. Melanoma is more likely to be present in the right heart chambers. 1Once cardiac metastases from melanoma are identified, the patient usually has widely disseminated disease and rarely is treatable with operation. 1 We recently resected a large intracardiac metastatic malignant melanoma, straddling the tricuspid valve, along with tricuspid valve replacement and coronary bypass grafting. This is the first report describing a metastatic melanoma infiltrating the tricuspid valve with successful surgical excision. Case reportAn 83-year-old man was detected to have a systolic murmur during routine check-up. Previously, he had undergone excision of a right shoulder malignant melanoma lesion (Clark level 4), 9 years previously, and An 83-year-old man presented with a large intracavitatory metastatic malignant melanoma, infiltrating the anterior leaflet of the tricuspid valve. The tumour was excised completely along with the anterior leaflet of the tricuspid valve which was replaced. The patient was well 2 months after surgery.

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