Korean J Urol.  2015 Jan;56(1):82-85. 10.4111/kju.2015.56.1.82.

Heart failure as the first manifestation of renal cell carcinoma

• Lee CM
• Sim A
• Kurugulasigamoney G
• Ng LG

• KMID: 2070273
• DOI: http://doi.org/10.4111/kju.2015.56.1.82

Abstract

We report the rare case of a patient with advanced renal cell carcinoma (RCC) who initially presented to the hospital with symptoms of cardiac failure. Preoperative cardiac studies did not reveal any underlying ischemia. After resection of a large 14-cm left renal tumor, cardiac function was noted to improve dramatically. We discuss this case of concomitant RCC and nonischemic cardiomyopathy.

Keyword

Cardiomyopathies; Heart failure; Paraneoplastic syndromes ; Renal cell carcinoma

MeSH Terms

Asian Continental Ancestry Group
Carcinoma, Renal Cell/*diagnosis/surgery
Cardiomyopathies/*diagnosis
Female
Heart Failure/*etiology
Humans
Middle Aged
Paraneoplastic Syndromes/complications
Thalassemia/complications

Figure

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  Fig. 1 Wall motion diagram of first transthoracic echocardiogram. AA, apical anterior; AI, apical inferior; AL, apical lateral; AS, apical septal; BA, basal anterior; BAL, basal anterior lateral; BAS, basal anterior septal; BI, basal inferior; BIL, basal inferior lateral; BIS, basal inferior septal; MA, mid anterior; MAL, mid anterior lateral; MAS, mid anterior septal; MI, mid inferior; MIL, mid inferior lateral; MIS, mid inferior septal.

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  Fig. 2 Transverse section of computed tomography scan of abdomen showing a left renal mass.

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  Fig. 3 Coronal section of computed tomography scan of chest/abdomen showing dilated heart chamber and left renal mass.

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