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Eur J Cardiothorac Surg 2008;33:314. doi:10.1016/j.ejcts.2007.11.005
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Pseudo-myxoma: massive pulmonary vein metastasis from a primary breast carcinoma

Zeena Makhija, Heyman Luckraz*, Eric G. Butchart

Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park, Cardiff CF14 4XN, United Kingdom

Received 2 August 2007; received in revised form 31 October 2007; accepted 2 November 2007.

* Corresponding author. Address: Cardiothoracic Unit, Block C5, University Hospital of Wales, Heath Park, Cardiff CF14 4XN, United Kingdom. Tel.: +44 2920 747747; fax: +44 2920 745439. (Email: HeymanLuckraz{at}aol.com). (URL: http://www.ctsnet.org/home/hluckraz).

Key Words: LA mass • Metastatic breast carcinoma

A 79-year-old lady was referred with CT scan (Fig. 1 ) and echocardiography (Fig. 2 and Movie 1) suggestive of left atrial myxoma. She had previously undergone left mastectomy for breast carcinoma.


Figure 1
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  		Fig. 1. Transverse CT scan showing the tumour originating from the right inferior pulmonary vein (PV) and occupying the whole of the left atrium (T). Note the left sided pleural effusion (E) and associated collapsed left lower lobe.

 

Figure 2
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  		Fig. 2. Pre-operative trans-thoracic echocardiography (five chamber view) showing the tumour (T) extending from the pulmonary vein (PV) and the left atrium (LA) into the left ventricle (LV) by popping through the mitral valve (MV) with each atrial systole.

 
She underwent excision of LA tumour, right lower lobectomy and post-operative chemotherapy as the histology confirmed right lower pulmonary vein metastatic breast cancer extending into LA.

Appendix A

Supplementary data

Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2007.11.005.





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