Intracavitary cardiac melanoma diagnosed by endomyocardial left ventricular biopsy

P. C. Hanley, C. Shub, J. B. Seward, L. E. Wold

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

A patient was evaluated for a persistent pericardial effusion and on two-dimensional echocardiography was found to have an intracavitary left ventricular mass. Twenty-two years earlier, a melanoma of the ethmoid sinus had been excised. An electrocardiogram revealed impressive T-wave abnormalities and pathologic Q waves, initially suggestive of 'myocardial infarction'. However, the coronary arteries were normal at angiography. At catheterization, the left ventricular mass was biopsied, using a transvenous catheter-directed technique, and proved to be a metastatic melanoma. This procedure obivated the need for diagnostic thoracotomy. We believe that this is a unique application of the use of catheter-directed biopsy to make a histologic diagnosis of a left ventricular neoplasm.

Original languageEnglish (US)
Pages (from-to)195-198
Number of pages4
JournalChest
Volume84
Issue number2
DOIs
StatePublished - Jan 1 1983

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ASJC Scopus subject areas

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

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