Case report

DOI: http://doi.org/10.31928/2305-3127-2018.2.5157 

The features of malignant neoplasm of the right ventricleof heart

R.M. Vitovskiy ^{1, 2}, V.V. Isaienko ¹, V.F. Onishchenko ¹, O.A. Pishchurin ¹, D.M. Dyadyun ², I.I. Zhekov ²

¹ Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
² M.M. Amosov National Institute of Cardiovascular Surgery of NAMS of Ukraine, Kyiv, Ukraine

The aim of the study was to present an unusual case of secondary lesion of right ventricular with malignant neoplasm, the character and size of which was finally established during surgery, as well as peculiarities of the surgical treatment of such lesion. In the M.M. Amosov National Institute of Cardiovascular Surgery of NAMS of Ukraine since 1970 surgical treatment of 62 patients with various types and localization of malignant heart tumors was performed. This amounted 6.8 % of 912 patients with cardiac tumors. The clinical observation presented by the patient with secondary tumorous lesion of right ventricular is of practical interest, taking into account the complexity of diagnosis, the unusual path of metastasis and peculiarities of surgical treatment. Metastases in the heart usually arise through hematogenous or lymphogenous spread or due to direct invasion. Malignant tumors of the heart can affect not only its walls, but also spread to valve structures, requiring surgical correction. It is impossible to exclude the presence of thrombus in heart chambers, considering the violation of hemodynamics associated with presence of tumors.

Key words: malignant tumors, metastasis, invasion.