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Right Ventricular Heart Failure from a Cardiac Yolk Sac Tumor
Isom, Nicholas ; Rali, Aniket S. ; Damjanov, Ivan ; Grigsby, Joel ; Gupta, Kamal
Isom, Nicholas
Rali, Aniket S.
Damjanov, Ivan
Grigsby, Joel
Gupta, Kamal
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Abstract
BACKGROUND: Cardiac involvement by a malignant tumor is rare. However, this is a case of right heart failure due to cardiac metastasis from a yolk sac tumor. Although a few case reports of cardiac metastasis from yolk sac tumors have been published, to our knowledge this is the first instance of multiple metastases to the right ventricular of yolk sac tumor in an adult male.
CASE REPORT: The patient is a 46-year-old male with a history of testicular cancer that presented with dyspnea on exertion. He was found to have two large right sided intracardiac masses on echocardiography. Cardiac magnetic resonance imaging (MRI) was obtained to further investigate these masses. Right ventricular function was decreased and concern for right ventricular outflow tract (RVOT) obstruction was present. The patient was taken to the operating room (OR) for resection of the cardiac masses. Pathology revealed the masses to be yolk sac tumors. Despite urgent resection of the tumors, the patient deteriorated clinically, ultimately succumbing to heart failure.
CONCLUSIONS: This unique presentation of a yolk sac tumor emphasizes the need to keep a broad differential and complete a thorough workup for any cardiac mass. Early diagnosis and treatment of intra-cardiac masses is imperative due to their high rates of mortality. Albeit an uncommon etiology for heart failure, germ cell tumors can potentially metastasize to the heart and present with such a clinical picture
Description
A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.
Date
2018-03-02
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ISI Journals
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Keywords
Endodermal sinus tumor, Heart failure, Heart neoplasms
Citation
Isom, N., Rali, A. S., Damjanov, I., Hubbard, K., Grigsby, J., & Gupta, K. (2018). Right Ventricular Heart Failure from a Cardiac Yolk Sac Tumor. The American journal of case reports, 19, 229.