Metastatic breast cancer with right ventricular erosion
Journal
European Journal of Cardio-thoracic Surgery
Journal Volume
49
Journal Issue
3
Pages
1006-1007
Date Issued
2016
Author(s)
Abstract
Cancer that has metastasized to the heart and pericardium has a dismal outcome. Individualized treatment to preserve the quality of life and reduce surgical mortality is important. We describe a 57-year old woman who had a recurrence of breast cancer 23 years after the initial complete treatment. Cardiac metastasis with poor anterior chest wall healing led to right ventricular rupture, which caused hypovolaemic shock. The right ventricular wall defect was repaired with a percutaneous patch and a myocutaneous flap without cardiopulmonary bypass. The patient was discharged home after intensive wound care. Our patient shows that even with complete initial treatment, clinicians should be alert for the recurrence of breast cancer. ? The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
SDGs
Other Subjects
antineoplastic agent; estrogen receptor; adult; angiography; Article; bacterium culture; breast cancer; breast metastasis; cancer chemotherapy; cancer radiotherapy; cancer recurrence; cancer surgery; case report; coagulase negative Staphylococcus; computer assisted tomography; debridement; emergency surgery; emergency ward; erosion; female; heart beat; heart injury; heart metastasis; heart right ventricle; heart right ventricle outflow tract; heart rupture; heart ventricle wall; human; human tissue; hypovolemic shock; internal mammary artery; lung metastasis; mastectomy; mediastinum; middle aged; multimodality cancer therapy; myocutaneous flap; necrosis; outpatient; pericardial patch; pneumonia; priority journal; Pseudomonas aeruginosa; split thickness skin graft; Stenotrophomonas maltophilia; surgical wound; thorax wall; thorax wall tumor; transesophageal echocardiography; tumor biopsy; wound care; wound infection; breast tumor; Heart Neoplasms; heart rupture; heart ventricle; pathology; secondary; Breast Neoplasms; Female; Heart Neoplasms; Heart Rupture; Heart Ventricles; Humans; Middle Aged
Publisher
European Association for Cardio-Thoracic Surgery
Type
journal article