Charcoal Heart: Metastatic Melanoma Mimicking Right Atrial Myxoma

Mahmoud Ali; Amina Adil; Rahul Sawlani; Sana Jeffreys; Omar Cheema; Patrycja Galazka; A Jamil Tajik

doi:10.1016/j.jaccas.2021.08.012

Charcoal Heart: Metastatic Melanoma Mimicking Right Atrial Myxoma

JACC Case Rep. 2021 Oct 6;3(13):1545-1550. doi: 10.1016/j.jaccas.2021.08.012.

Authors

Mahmoud Ali¹, Amina Adil¹, Rahul Sawlani², Sana Jeffreys³, Omar Cheema¹, Patrycja Galazka¹, A Jamil Tajik¹

Affiliations

¹ Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin, USA.
² Department of Radiology, Aurora Sinai/Aurora St. Luke's Medical Centers, Milwaukee, Wisconsin, USA.
³ Aurora Cancer Care/Aurora Health Care Medical Group, Racine, Wisconsin, USA.

Abstract

A 59-year-old woman with history of skin melanoma and complete excision presented with palpitations. Transthoracic echocardiogram revealed right atrial mass attached to interatrial septum. Cardiac magnetic resonance was suggestive of metastatic melanoma. Laboratory tests revealed elevated liver enzymes. Liver ultrasonography showed a large mass positive for metastatic melanoma by biopsy. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance; FDG, fluorodeoxyglucose; ICI, immune checkpoint inhibitors; MM, malignant melanoma; PD-1, programmed death 1; PET, positron emission tomography; RA, right atrial; cardiac neoplasms; metastatic heart disease; metastatic melanoma.

Publication types

Case Reports