Dyspnea, angina pectoris and body weight loss in a 76-year-old patient

Background: Cardiac metastases are a rare finding. The primary diagnosis of a malignant disease by cardial metastases is a curiosity. Case Report: A 76-year-old patient presented with dyspnea, angina pectoris and body weight loss. Echocardiography showed a circular pericardial effusi on and intramyocardial masses with high echodensity in the right atrial and the right ventricular wall. MIR was not diagnostic of the intramyocardial masses. The pericardiocentesis was negative. The procedures revealed an int estinal type gastric adenocarcinoma. Conclusion: Echocardiography is an established method for the diagnosis of cardiac metastases.