Affiliation

Pauley Heart Center and the Divisions of Cardiology, Cardiac Surgery, Radiology and Oncology, Virginia Commonwealth University School of Medicine, Richmond VA

Corresponding Author

J. V. Nixon, MD, Pauley Heart Center and the Divisions of Cardiology, Cardiac Surgery, Radiology and Oncology, Virginia Commonwealth University School of Medicine, PO Box 51, Richmond VA 23298-0051, Tel: 804-828-7915; Fax: 804-828-3544; E-mail: john.nixon@vcuhealth.org

Citation

J. V. Nixon, et al. Asymptomatic Malignant Melanoma Presenting as a Cardiac Mass. (2017) J Heart Cardiol 3(1): 11- 15.

Copy rights

© 2017 J. V. Nixon. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.

Abstract

  Following a health fair screening echocardiogram and notification of a concerning finding, a repeat echocardiogram identified a large right atrial mass crossing the tricuspid valve into the right ventricle in an asymptomatic patient. Subsequent MRIs confirmed the cardiac mass and identified multiple liver masses. Four weeks later, the patient returned with exertional dyspnea and lower extremity edema. Coronary arteriography showed a right atrial mass perfused by right coronary arterial branches with a tumor blush. The tumor was surgically excised with pathological confirmation of a malignant melanoma. At 4 months, the patient was asymptomatic and stable after commencement on chemotherapy