European Journal of Cardio-Thoracic Surgery, Vol 10, 593-594, Copyright © 1996 by European Association for Cardio-thoracic Surgery
Primary melanoma of the heart: case report of an association with coronary stenosis
J Robin, F Tronc, J Ninet, R Loire, H Milon, JF Cordier and G Champsaur
Department of Cardiovascular Surgery, Hopital Cardiologique, Lyon, France.
A 63-year-old man presented with unstable angina. The coronary angiogram
revealed a proximal left anterior descending artery (LAD) stenosis and an
irregularity on the anterior wall of the left ventricle. Intraoperatively,
a malignant melanoma, independent of the coronary stenosis, was identified
and resected, and an internal mammary graft was inserted. No primary tumor
was found. The patient is alive 18 months after operation, with a normal
magnetic resonance imaging (MRI), which seems to be the technique of choice
for following-up heart melanomas.