Key result
Tumorous infiltration of the heart from a primary anaplastic carcinoma of the right maxillary antrum led to myocardial rupture in a 70-year-old man.
Case Report (n=1)
No
This case report documents a rare instance of myocardial rupture secondary to tumorous infiltration of the heart from a metastatic carcinoma.
Answers are grounded in this paper and cite their sources.
Warrants vigilance for cardiac metastasis in unexplained rupture with maxillary carcinoma history; leaves open whether imaging alters outcomes in advanced disease.
The case is described of a 70-year-old white man with a primary anaplastic carcinoma of the right maxillary antrum, and with widespread visceral dissemination, including metastases to the heart. Myocardial rupture was noted to have occurred through one of the metastatic lesions. To the best of our knowledge this is the fourth instance of rupture as a sequel to tumorous infiltration of the heart. Among the metastases were one or more to a clear-cell adenoma of the left kidney. This instance of metastasis of "cancer to cancer" is the second case of this rare condition in the recent autopsy material of the Beth Israel Hospital.
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Singer et al. (1958) conducted a case report in Cardiac rupture due to metastases from a carcinoma of the antrum (n=1). Tumorous infiltration of the heart was evaluated on Myocardial rupture. Tumorous infiltration of the heart from a primary anaplastic carcinoma of the right maxillary antrum led to myocardial rupture in a 70-year-old man.
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