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J Thorac Cardiovasc Surg 2008;136:1377-1378
© 2008 The American Association for Thoracic Surgery

Brief Communication

Solitary metastasis of urothelial carcinoma of the urinary bladder to the heart: An unusual clinical manifestation

^a Department of Cardiac Surgery, Evangelismos General Hospital, Athens, Greece
^b Department of Pathology, Evangelismos General Hospital, Athens, Greece
^c Department of Thoracic and Vascular Surgery, Evangelismos General Hospital, Athens, Greece
^d Department of Urology, Attikon University Hospital, Athens, Greece

Received for publication November 12, 2007; accepted for publication November 26, 2007.

^_* Address for reprints: Konstantinos Spiliotopoulos, MD, Haritos 31, 106 75, Kolonaki, Athens, Greece. (Email: cvspiliotopoulos@hotmail.com).

The first 20% of the full text of this article appears below.

Approximately 10% of metastatic tumors eventually reach the heart or pericardium, and almost every type of malignant tumor has been known to do so. Secondary neoplasms are 20 to 40 times more common than primary cardiac malignancies. In an effort to define better the broad spectrum of the metastatic tumors reaching the heart and their diverse clinical behavior, we present this rare case of a symptomatic, isolated urothelial carcinoma of the bladder metastatic to the heart.

Clinical Summary

A 66-year-old man was referred to our department for a large pericardial effusion and cardiac tamponade. He also had a nonproductive cough and a worsening progressive dyspnea of several days' duration. His medical history included a radical cystectomy and urinary diversion (ileal conduit after Bricker procedure) performed 5 years previously for a high-grade infiltrating urothelial carcinoma (World Health Organization classification) of the urinary bladder (T2N0M0), with negative results of follow-up since then.

The echocardiogram revealed a multilobular mass attached to the wall of the right atrium with no blood flow in it, extending beyond . . . [Full Text of this Article]

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