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Ann Thorac Surg 2002;73:1631-1633
© 2002 The Society of Thoracic Surgeons


Case report

Right ventricular metastatic choriocarcinoma obstructing inflow and outflow tract

Borut Gersak, MD*a, Nikola Lakic, MDa, Vojka Gorjup, MDb, Tanja Gulic, MDd, Pavle Berden, MDc, Natasa Suligoj Cernic, MDe

a Department of Cardiovascular Surgery, Ljubljana, Slovenia
b Center for Intensive Internal Medicine, Ljubljana, Slovenia
c Department of Radiology, University Medical Center, Ljubljana, Slovenia
d Department of Cardiology, Maribor Teaching Hospital, Maribor, Slovenia
e Department of Internal Medicine, General Hospital Izola, Izola, Slovenia

Accepted for publication October 25, 2001.

* Address reprint requests to Dr Gersak, Department of Cardiovascular Surgery, University Medical Center, Zaloska 7, 1000 Ljubljana, Slovenia
e-mail: borut.gersak{at}maat.si

We operated on a 34-year-old man with a metastatic tumor that extended from the tricuspid valve to the pulmonary valve and obstructed the right ventricle inflow and outflow tracts. The tumor was removed with preservation of the tricuspid valve. Additional chemotherapy was carried out according to the BEPO (etoposid, eisplatin, bleomycin, vincritin) scheme. Histology revealed metastasis of a choriocarcinoma originating from the right testis. Computed tomography performed after 6 months detected no metastases in the lungs. Magnetic resonance imaging showed a thickened right ventricle free wall and apex. The patient is doing well 18 months postoperatively.




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