A 77-year-old woman presented with shortness of breath 1 year after a right upper lobectomy for lung cancer. She showed a possible intracardiac metastasis on positron emission tomography scan. There was no other evidence of recurrence. The large right ventricular mass was associated with the right ventricle free wall, the apex, the papillary muscle, and the chordae to the tricuspid valve. After mass resection of the right ventricle, a one-and-a-half ventricular repair was performed with tricuspid valve replacement and defect closure. The patient was discharged on postoperative day 14 without complications and has been well for the first 3 months after the surgery.
From the *Division of Cardiothoracic Surgery, Department of Surgery, †Division of Pulmonary and Critical Care Medicine, Department of Medicine, ‡Department of Anesthesiology, and §Department of Radiology, Temple University School of Medicine, Philadelphia, PA USA.
Accepted for publication December 31, 2013.
Disclosures: T. Sloane Guy, MD, is a consultant to Edwards Lifesciences, Inc, Irvine, CA USA, and Medtronic, Inc, Minneapolis, MN USA; he received a grant from Biomet Microfixation, Jacksonville, FL USA. Larry R. Kaiser, MD, is a consultant to Accolade Healthcare Inc, Plymouth Meeting, PA USA. Akira Shiose, MD, PhD; Parag Desai, MD; Gerard J. Criner, MD; Sheela Pai, MD; Robert M. Steiner, MD; and Yoshiya Toyoda, MD, PhD, declare no conflicts of interest.
Address correspondence and reprint requests to Akira Shiose, MD, PhD, Division of Cardiothoracic Surgery, Department of Surgery, Temple University School of Medicine, 3401 N. Broad St, Zone C, Third Floor, Suite 301, Philadelphia, PA 19140 USA. E-mail: Akira.Shiose@tuhs.temple.edu.