Malignant nonseminomatous germ cell tumors (NSGCT) rarely metastasize to th
e heart. The first such case presenting with syncope is described. Eight pr
eviously described cases of NSGCT with intracaval metastasis to the heart a
re reviewed and the literature to date is discussed. Transesophageal echoca
rdiography is the diagnostic study of choice and treatment consists primari
ly of platinum-based chemotherapy followed by surgical resection of residua
l deposits.