A COMPLETE LBBB REVEALING NON SPECIFIC VENOUS METASTASIS INTO THE RIGHT ATRIUM : A CASE REPORT AND REVIEW OF LITERATURE

The primary heart tumors are rare, whereas metastatic heart tumors occur more frequently. We presente a case of an asymptomatic 71-year-old man diagnosed with isolated right atrium metastasis of a poorly differentiated hepatic carcinoma by direct inferior vena cava invasion the patient opted out of any intervention and was discharged under VKA. The prevalence of secondary cardiac tumors has been reported as 10 to 12% in autopsy studies. Clinically, cardiac metastasis usually remains asymptomatic and detected incidentally. The techniques mainly used in assessment of cardiac lesions include transthoracic and transoesophageal echocardiogram, CT scans and MRI. Treatment of metastatic cardiac tumor is usually palliative, because the overall prognosis is poor. A multidisciplinary approach involving cardiologists, oncologists, and cardiothoracic surgeons is crucial for deciding the best therapeutic regimen for such patients.