Atypical Cardiac Location of Melanoma of Unknown Origin

Figures

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  Figure 1. Coronary angiography (CA) and transthoracic echocardiography (TTE). (A) CA (RAO 28.3°, CAU 2.2° presentation)—visible poor tumor vascularity at the late arterial phase of the right coronary artery selective angiography (arrow); (B) CA (RAO 26.3°, CRA 23.1° presentation)—visible poor tumor vascularity at the late arterial phase of the left coronary artery (circumflex branch) selective angiography (arrow). (C) Two-dimensional TTE (parasternal, short axis presentation)—tumor in the left ventricle cavity (arrow); (D) 2D TTE (apical 4-Ch presentation)—tumor in the left ventricle cavity (arrow); (E) 2D TTE (2-Ch presentation)—tumor in the left ventricle cavity (arrow); and (F) 2D TTE (4-Ch presentation)—tumor resolution after chemotherapy.

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  Figure 2. Multi-Slice Computed Tomography (MSCT) showing a pathological tumor mass connected with the posterior wall of left ventricle (LV) (arrows). (A) A 3D black-and-white reconstruction with the cutoff plane through the LV long axis; (B) a 3D black-and-white reconstruction with the cutoff plane through the LV short axis; (C) a 3D volume rendering reconstruction with the cutoff plane through the LV short axis; (D) virtual ventriculography of the LV in the navigator option axis; (E) a coronal multiplanar reconstruction with gold color scale; (F) an axial multiplanar reconstruction with gold color scale.