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Resection of Right Atrial Metastatic Large-Cell Neuroendocrine Carcinoma

Department of Cardiothoracic Surgery, Geelong Hospital
¹ Department of Anatomical Pathology, Pathcare Consulting Pathologists
² Department of Cardiology, St. John of God Healthcare
³ Andrew Love Cancer Center, Geelong Hospital, Geelong, Australia

For reprint information contact: Cheng-Hon Yap, MBBS Tel: 61 40 201 5001 Fax: 61 3 9288 2211 Email: yapch{at}svhm.org.au, St. Vincent’s Hospital, Melbourne, PO Box 2900, Fitzroy, Victoria 3065, Australia.

The incidence of cardiac metastases is rising due to increasingly sensitive diagnostic investigations and longer patient survival as a result of improved treatment for malignancies. We report a rare case of right atrial metastasis from a large cell neuroendocrine carcinoma successfully resected with cardiopulmonary bypass. The surgical management of advanced cardiac malignancy is discussed. In appropriately selected cases surgical resection of cardiac metastases can be beneficial, allowing improvement in quality of life, and prolongation of life.