• Internal medicine · Jun 2024

    Case Reports

    Intractable Ventricular Tachycardia Prior to an Overt Cardiac Tumor Mass of Metastatic Cardiac Rhabdomyosarcoma (Spindle-cell Type).

    • Yosuke Terui, Hideaki Suzuki, Akio Chikata, Yuichi Hanaki, Yuki Komatsu, Hideki Ota, Fumiyoshi Fujishima, Rei Umezawa, Kota Ouchi, Haruka Sato, Taijyu Satoh, Saori Miyamichi-Yamamoto, Nobuhiro Yaoita, Hideka Hayashi, Kotaro Nochioka, Hiroyuki Takahama, Akihiko Nogami, Yoshikatsu Saiki, and Satoshi Yasuda.
    • Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan.
    • Intern. Med. 2024 Jun 15; 63 (12): 172517311725-1731.

    AbstractWe herein report a 37-year-old man who experienced recurrence of metastatic cardiac rhabdomyosarcoma along with intractable ventricular tachycardia (VT) 7 years after resection of rhabdomyosarcoma in his right elbow. At 36 years old, he developed VT unresponsive to radiofrequency catheter ablation (RFCA). Initially, the cardiac tumor was not detected, but it gradually grew in size at the RFCA site. A surgical biopsy confirmed the diagnosis of metastatic cardiac rhabdomyosarcoma. Despite radiation therapy, cardiac tumor progression and VT instability could not be prevented. Ultimately, the patient died 27 months after the initial documentation of VT.

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