Key result
Pre-chemotherapy echocardiography detects rare uterine leiomyosarcoma cardiac metastasis between mitral and aortic valves.
Why the study?
Cardiac metastases of uterine leiomyosarcoma are very rare and infrequently reported, requiring further clinical awareness and discussion.
Case Report (n=1)
May prompt echocardiography in uterine leiomyosarcoma; leaves open prevalence and management impact of cardiac metastases.
Uterine leiomyosarcoma is a very rare tumor. The risk of developing metastasis is high especially for lung. Some localizations are possible but infrequent. The heart is not a body filter and cardiac metastases are exceptional. We are reporting a case of a 57 years old female patient who had cardiac metastasis of an uterine leiomyosarcoma. Postmenopausal bleeding revealed the uterine tumor. The cardiac metastasis was discovered during an echocardiography indicated for pre-chemotherapy cardiac work-up. A magnetic resonance imaging revealed a mass connection between the mitral valve and the aortic sigmoid. The patient was placed on chemotherapy. Cardiac metastasis of a uterine leiomyosarcoma are very rare and have been rarely reported in the literature. The presence of cardiac metastasis in a patient need to be discussed inside a multidisciplinary committee before any symptoms.
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Zmaimita et al. (2017) conducted a case report in Cardiac metastasis of uterine leiomyosarcoma (n=1). Chemotherapy was evaluated. A 57-year-old female with a uterine leiomyosarcoma was found to have rare cardiac metastasis, located between the mitral valve and aortic sigmoid, during pre-chemotherapy echocardiography.
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