An Incidental Finding of Coronary-Cameral Fistulas in a Critically Ill Patient with a Metastatic Cardiac Tumor

It is extremely rare for a cardiac tumor to present with coronary-cameral fistulas. A 66-year-old Caucasian male presented with worsening dyspnea and subsequently had a cardiac catheterization for an ST-elevation myocardial infarction, revealing no evidence of coronary artery disease but multiple coronary-cameral fistulas. Venoarterial (VA) extracorporeal membrane oxygenation was initiated for a severe cardiogenic shock. Workups including a transesophageal echocardiography and a right heart catheterization led to a diagnosis of metastatic melanoma involving both ventricles of his heart. Angiogenesis is well described in melanomas and our novel case reports the extremely rare association of coronary-cameral fistulas with a metastatic cardiac melanoma.

Automated summary

It is rare for a cardiac tumor to be associated with coronary-cameral fistulas. A case of metastatic cardiac melanoma involving both ventricles was diagnosed through various examinations in a 66-year-old Caucasian male presenting with worsening dyspnea.