Key result
Surgical resection addresses RVOT obstruction caused by recurrent intracardiac melanoma masses.
Case Report (n=1)
This case report highlights the presentation of intracardiac metastases from malignant melanoma causing right ventricular outflow obstruction and the decision for surgical resection.
May support surgical resection in select intracardiac melanoma metastases with RVOT obstruction; leaves open questions on long-term outcomes and optimal management.
A 71 year-old male with a history of multiple excisions of an initial Clark's level V melanoma of the breast followed by combined radiation and interferon treatment, as well as a recurrence, 3 years later, of a BRAF-positive tumor of the shoulder, with subsequent therapy with dabrafenib and trametinib, presented again with progressive intracardiac masses causing significant right ventricular outflow obstruction. Additionally, the patient complained of dyspnea and fatigue on exertion, thus he was scheduled for surgical resection.
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Spiliopoulos et al. (2021) conducted a case report in Cardiac metastases from malignant melanoma (n=1). Surgical resection was evaluated. Surgical resection was scheduled for a 71-year-old male with recurrent malignant melanoma presenting with progressive intracardiac masses causing right ventricular outflow obstruction.
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