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Metastatic Ocular Melanoma to the Left Ventricle Inducing Near-Syncope Attacks in an 84-Year-Old Woman*

Raymond T. Rosario, MD; Dominick J. DiMaio, MD; Rosanna L. Lapham, MD; Michael Sweeney, MD; Richard Smalling, MD, PhD; Eddy Barasch, MD
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*From the Department of Internal Medicine, Division of Cardiology (Drs. Rosario, Smalling, and Barasch), the Department of Cardiothoracic Surgery (Dr. Sweeney), and the Department of Pathology and Laboratory Medicine (Drs. DiMaio and Lapham), University of Texas Medical School, Houston, TX.

Correspondence to: Eddy Barasch, MD, University of Texas Health Science Center at Houston, MSB 1.257, 6431 Fannin, Houston, TX 77030



Chest. 2000;118(2):551-553. doi:10.1378/chest.118.2.551
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Cardiac tumors may represent mechanical causes for syncope by limiting left ventricular filling and/or by obstructing the left ventricular outflow tract. Malignant melanoma is known to metastasize to the myocardium or pericardium, but there are only a very limited number of reports describing endocardial involvement by the tumor. We describe herein an 84-year-old woman who presented with daily near-syncope episodes, 9 years after treatment for a choroidal melanoma. The echocardiography and the pathologic examination revealed a metastatic melanoma. This is the first reported case of an ocular melanoma metastasizing to the heart and presenting as a left ventricular intracavitary pedunculated mass.

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