Metastatic ocular melanoma to the left ventricle inducing near-syncope attacks in an 84-year-old woman

Cardiac tumors may represent mechanical causes for syncope by limiting left ventricular filling and/or by obstructing the left ventricular outflow tra ct. Malignant melanoma is known to metastasize to the myocardium or pericar dium, but there are only a very limited number of reports describing endoca rdial involvement by the tumor. We describe herein an 84-year-old woman who presented with daily near-syncope episodes, 9 years after treatment for a choroidal melanoma. The echocardiography and the pathologic examination rev ealed a metastatic melanoma. This is the first reported case of an ocular m elanoma metastasizing to the heart and presenting as a left ventricular int racavitary pedunculated mass.