New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large right heart metastasis

Figures

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  Fig. 1. Case 1. Cardiac right ventricular metastatic tumor recurrence after surgery: axial MRI T2 weighted (A); axial (A’) and sagittal (A”) CT-scan; before (B) and after embolization with coil (B’) in right coronary artery; radiation dosimetry: green line 40.5 Gy axial (C) and sagittal (C’); axial (D) and sagittal (D’) MRI showing right cardiac wall tumor necrosis. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)

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  Fig. 2. Case 2. Cardiac right ventricular metastatic tumor before surgery: axial (A) and sagittal (A’) MRI; residual tumor after surgery: axial MRI (B), axial (B’) and frontal CT-scan (B”); before (C) and after embolization with two coils (C’) in right coronary artery; radiation dosimetry: green line 40.5 Gy axial (D) and frontal (D’); axial (E) and sagittal (E’) MRI with right cardiac control. Recurrence in superior vena cava: frontal angio-CT view (F) and salvage stent (F’). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)