A Rare Case of Right Ventricular Cardiac Metastasis from Urothelial Carcinoma Presenting with Multifocal Stroke and Massive Pulmonary Embolism
K.Mouammine, J.Yamoul Jihane, R.Habbal, S Arous, M.Bennouna, A.Drighil
Asian Journal of Cardiology Research · pp. 318–322 · Published 29 May 2025
10.9734/ajcr/2025/v8i1280Abstract
Background: Cardiac metastases from urothelial carcinoma are rare and often clinically silent. Right ventricular (RV) involvement is exceptionally uncommon and may present with embolic complications. Case Summary: We report the case of a 68-year-old male with metastatic urothelial carcinoma, admitted with right hemibody weakness. Brain MRI revealed multifocal ischemic infarcts. Echocardiography showed a mobile mass in the right ventricle, attached to the interventricular septum, suggestive of metastasis. CT angiography revealed bilateral massive pulmonary embolism. Despite curative anticoagulation and intensive care, the patient died within 48 hours. Conclusion: This case illustrates the diagnostic challenge and poor prognosis associated with RV cardiac metastases. In cancer patients presenting with embolic events, intracardiac tumor masses should be considered.
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