Abstract

A 76-year-old male with a past history of resected cancer colon and a recurrence in the form of hepatic and lung metastases had a Chest X Ray (CXR) which revealed cardiomegaly and referred for echocardiography that revealed a large pericardial mass with pericardial effusion most likely metastatic in nature.

Highlights

  • Primary cardiac tumors are extremely rare, secondary tumors are not

  • A 76-year-old male patient with past medical history of diabetes, hypertension, ischemic heart disease and chronic renal failure on maintenance hemodialysis and a history of resected adenocarcinoma of the colon 2 years ago with recurrence diagnosed 6 months ago in the form of hepatic and pulmonary metastases had a Chest X Ray (CXR) which revealed cardiomegaly and bilateral pulmonary infiltrates. He was referred for echocardiography which showed a large fleshy pericardial mass attached to the anterior surface of the right atrium and ventricle with anterior pericardial effusion most likely metastatic in nature

  • Echocardiography remains the key method for diagnosis of cardiac masses [3]

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Summary

Introduction

A 76-year-old male patient with past medical history of diabetes, hypertension, ischemic heart disease and chronic renal failure on maintenance hemodialysis and a history of resected adenocarcinoma of the colon 2 years ago with recurrence diagnosed 6 months ago in the form of hepatic and pulmonary metastases had a CXR which revealed cardiomegaly and bilateral pulmonary infiltrates.

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Conclusion
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