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March 10, 1989, Vol 261, No. 10 >
ARTICLE | March 10, 1989

Echocardiographic Detection of Left Atrial Extension of Bronchial Carcinoma FREE

Aleksandar D. Popovic, MD; Pamela Harrigan, RDMS; Anthony J. Sanfilippo, MD, FRCPC; Arthur E. Weyman, MD
[+] Author Affiliations

Reprint requests to Cardiac Ultrasound Laboratory, Massachusetts General Hospital, Zero Emerson Place, Suite 2F, Boston, MA 02114 (Dr Weyman).


JAMA. 1989;261(10):1478-1480. doi:10.1001/jama.1989.03420100114034
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References

IT IS well known from autopsy series that metastatic tumors of the heart can be found in 1.5% to 20.6% (average, 6%) of patients with malignancies.1 The most common cause of metastatic heart disease is bronchial carcinoma, followed by carcinoma of the breast, malignant melanoma, lymphoma, and leukemia, in decreasing order of frequency.1 However, cardiac invasion is infrequently diagnosed ante mortem due to the lack of specific clinical manifestations.2

Atrial extension has been reported as a common route of local spread in patients with bronchial carcinoma.3,4 The echocardiographic features of such extension have been illustrated in only two cases,5,6 to our knowledge. The purpose of this report is to describe three patients with bronchial carcinoma in whom left atrial extension of the tumor was diagnosed by two-dimensional echocardiography.

REPORT OF CASES 

Case 1.—  An 80-year-old man had a history of long-standing murmur consistent with aortic

REFERENCES

1 +
Rosenthal DS, Braunwald E:  Hematological-oncological disorders and heart disease , in Braunwald E (ed): Heart Disease: A Textbook of Cardiovascular Medicine . Philadelphia, WB Saunders Co, 1988;, pp 1744-1746.
2 +
McAllister HA, Fenoglio JJ:  Tumors of the cardiovascular system , in Atlas of Tumor Pathology . Washington, DC, Armed Forces Institute of Pathology, 1978;, fascicle 15, series 2, pp 1-141.
3 +
Cruz PT, Stambaugh ET:  Intracardiac extension of bronchogenic carcinoma . Chest 1956;;29:441-445.
4 +
Miranda AL, Rufilanchas JJ, Juffe A, et al:  Direct extension of bronchogenic carcinoma through the pulmonary veins . Chest 1975;;68:123-124.
5 +
Corris PA, Kertes PJ, Jennings K, et al:  Detection of occult cardiac invasion by two-dimensional echocardiography in patients with bronchial carcinoma . Thorax 1986;;41:138-141.
6 +
D'Cruz IA, Roth RB:  Left atrial extension of pulmonary adenocarcinoma mimicking left atrial myxoma . Echocardiography 1987;;4:59-62.
7 +
Mich RJ, Gillam LD, Weyman AE:  Osteogenic sarcomas mimicking left atrial myxomas: Clinical and two-dimensional echocardiographic features . J Am Coll Cardiol 1985;;6:1422-1427.
8 +
Applefeld MM, Pollock SH:  Cardiac disease in patients who have malignancies . Curr Probl Cardiol 1980;;4( (February) ):5-10.

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1 +
Rosenthal DS, Braunwald E:  Hematological-oncological disorders and heart disease , in Braunwald E (ed): Heart Disease: A Textbook of Cardiovascular Medicine . Philadelphia, WB Saunders Co, 1988;, pp 1744-1746.
2 +
McAllister HA, Fenoglio JJ:  Tumors of the cardiovascular system , in Atlas of Tumor Pathology . Washington, DC, Armed Forces Institute of Pathology, 1978;, fascicle 15, series 2, pp 1-141.
3 +
Cruz PT, Stambaugh ET:  Intracardiac extension of bronchogenic carcinoma . Chest 1956;;29:441-445.
4 +
Miranda AL, Rufilanchas JJ, Juffe A, et al:  Direct extension of bronchogenic carcinoma through the pulmonary veins . Chest 1975;;68:123-124.
5 +
Corris PA, Kertes PJ, Jennings K, et al:  Detection of occult cardiac invasion by two-dimensional echocardiography in patients with bronchial carcinoma . Thorax 1986;;41:138-141.
6 +
D'Cruz IA, Roth RB:  Left atrial extension of pulmonary adenocarcinoma mimicking left atrial myxoma . Echocardiography 1987;;4:59-62.
7 +
Mich RJ, Gillam LD, Weyman AE:  Osteogenic sarcomas mimicking left atrial myxomas: Clinical and two-dimensional echocardiographic features . J Am Coll Cardiol 1985;;6:1422-1427.
8 +
Applefeld MM, Pollock SH:  Cardiac disease in patients who have malignancies . Curr Probl Cardiol 1980;;4( (February) ):5-10.

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