Tag Archives: neoadjuvant chemotherapy

Introduction Cardiac metastases from a colorectal carcinoma are rare. Presence of a mass in an unusual location in the heart in a young man with a galloping rate of growth, however, raises such a spectre. Decision algorithms revolve around the need to prevent a sudden catastrophic venous obstruction, risk of massive pulmonary embolisation, importance of ruling out metastatic disease to guide management of the primary malignancy, balancing the conflicting needs of early treatment of primary malignancy and the risks of doing this in the presence of an undiagnosed massive right atrial mass, and, finally, the conduct of the cardiac operation itse