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European Journal of Echocardiography 2008 9(1):76-77; doi:10.1016/j.euje.2006.12.011
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org.

A bunch of grapes in the left ventricle

Mohamad Ali Ostovan and Amir Aslani*

Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran

Received 10 December 2006; accepted after revision 27 December 2006; online publish-ahead-of-print 9 March 2007.

* Corresponding author. Cardiology Department, Namazee Hospital, Shiraz, Iran ( PO Box 71935-1334). Tel: +98 917 3131320; fax: +98 711 6279733. E-mail address: draslani{at}yahoo.com.


  Abstract

A 65-year-old man, heavy smoker, was admitted because of severe exertional dyspnea and vague chest pain for 2 weeks. A chest X-ray was taken and revealed a large mass in the left lung field (Figure 1). Cytological examination of the percutaneous needle aspiration of a lymph node in the anterior mediastinum revealed malignant epithelial cell nests which was strongly suggestive of squamous cell carcinoma. Transthoracic echocardiography was performed and revealed multiple mass-like lesions with central liquefactions in the left ventricle resembling a bunch of grapes.

Keywords: Heart; Tumors; Metastasis; Malignancy


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