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; Satoshi Yasuda

doi:10.2169/internalmedicine.2568-23

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, Satoshi Yasuda

Author information

Yosuke Terui
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Hideaki Suzuki
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Akio Chikata
Department of Cardiology, Toyama Prefectural Central Hospital, Japan
Yuichi Hanaki
Department of Cardiology, Institute of Medicine, University of Tsukuba, Japan
Yuki Komatsu
Department of Cardiology, Institute of Medicine, University of Tsukuba, Japan
Hideki Ota
Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, Japan
Fumiyoshi Fujishima
Department of Pathology, Tohoku University Hospital, Japan
Rei Umezawa
Department of Radiation Oncology, Tohoku University Graduate School of Medicine, Japan
Kota Ouchi
Department of Clinical Oncology, Tohoku University Graduate School of Medicine, Japan
Haruka Sato
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Taijyu Satoh
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Saori Miyamichi-Yamamoto
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Nobuhiro Yaoita
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Hideka Hayashi
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Kotaro Nochioka
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Hiroyuki Takahama
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan
Akihiko Nogami
Department of Cardiology, Institute of Medicine, University of Tsukuba, Japan
Yoshikatsu Saiki
Division of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Japan
Satoshi Yasuda
Departments of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Japan

Keywords: Cardiac sarcoma, Rhabdomyosarcoma, Ventricular tachycardia, Cardio-oncology

JOURNAL OPEN ACCESS Advance online publication

Article ID: 2568-23

DOI https://doi.org/10.2169/internalmedicine.2568-23

Details

Abstract

We 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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