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Ganga Prabhakar
Alexander Vasilakis
Ronald C. Hill
Jose L. Cruzzavala
Geoffrey M. Graeber
Robert A. Gustafson
Gordon F. Murray
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Ann Thorac Surg 1998;65:844-846
© 1998 The Society of Thoracic Surgeons

Case Reports

Right Atrial Metastatic Melanoma in a Patient With Transient Ischemic Attacks

Ganga Prabhakar, FRCS, Alexander Vasilakis, MD, Ronald C. Hill, MD, Jose L. Cruzzavala, MD, Geoffrey M. Graeber, MD, Robert A. Gustafson, MD, Gordon F. Murray, MD

Department of Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA

Accepted for publication October 22, 1997.

Dr Vasilakis, Department of Surgery, West Virginia University School of Medicine, Box 9238 Health Sciences N, Morgantown, WV 26506.

A 65-year-old-man was admitted for evaluation of a transient isc hemic attack. A 4.5 x 5.3-cm right atrial mass and a patent foramen ovale were identified by echocardiography. A 0.5-cm lesion was identified in the left temporal lobe of the brain by magnetic resonance imaging. Positron emission tomography was used to differentiate a tumor from an infarct in the brain. The cardiac and the brain lesions were successfully resected. Histopathologic study of the atrial and cerebral tissue demonstrated that these were metastases from a previously excised scalp desmoplastic malignant melanoma. The patient remains well at 14 months’ follow-up.




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T. Bossert, J. A. M. van Son, R. Autschbach, and F. W. Mohr
Resection of a right atrial metastatic melanoma with unknown origin of primary tumor
Eur J Cardiothorac Surg, March 1, 1999; 15(3): 373 - 375.
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