Metastatic chondrosarcoma to the heart

A cardiac consultation was asked for a 58-year-old man prior to surgery for a bladder tumor, upon detection of increased heart size and cardiothoracic ratio by telecardiography. He did not have any cardiac symptoms. Transthoracic echocardiography showed two masses in the right atrium and ventricular apex, respectively. As he had undergone surgery, seven years before, for a chondrosarcoma in the left chest wall, a metastatic lesion was suspected, for which a decision for surgery was made. At surgery, the masses were found to be unresectable due to advanced involvement of the heart and the aorta, so only a biopsy was obtained. Histopathologic diagnosis was metastatic chondrosarcoma. The patient was submitted to the oncology department. He did not have any cardiac symptoms in the fifth postoperative month. To our knowledge, this is the first case report of a metastatic chondrosarcoma to the heart in the Turkish literature.