Related Experiment Video
Updated: Aug 21, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
CHF: "compressive" heart failure? A clinical review of metastatic cardiac tumors
Senthil Nachimuthu1, Patricia A Uber, Priyankha Balasundaram
1Oschner Cardiomyopathy and Heart Transplantation Center, Oschsner Clinic Foundation, New Orleans, LA 70121, USA.
Insights
Malignant neoplasms frequently metastasize to the heart, causing cardiac metastasis. This metastatic heart disease is more common than primary tumors and leads to worse patient prognosis.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Cardiac metastasis occurs in nearly 10% of patients with malignant neoplasms.
- Metastatic heart disease is more prevalent than primary cardiac tumors.
- Malignant cardiac tumors are associated with a poorer prognosis.
Observation:
- A case of mitral inflow obstruction caused by metastatic malignancy to the left atrium is presented.
- This obstruction resulted in "compressive" heart failure.
- The clinical presentation and management of such cases are discussed.
Findings:
- Metastatic malignancy to the heart can lead to significant hemodynamic compromise.
- Left atrial metastasis can obstruct mitral inflow, causing heart failure.
- Early recognition and management are crucial for improving outcomes.
Implications:
- Highlights the importance of considering cardiac metastasis in cancer patients presenting with heart failure symptoms.
- Emphasizes the need for advanced imaging and diagnostic techniques to detect cardiac involvement.
- Underscores the poor prognosis associated with metastatic heart disease, necessitating multidisciplinary care approaches.
Abstract:
Nearly 10% of patients with malignant neoplasms are found to have cardiac metastasis. Metastatic disease is much more common than primary cardiac tumors and is also associated with a worse prognosis. The authors describe a case of mitral inflow obstruction due to metastatic malignancy to the left atrium which led to "compressive" heart failure. They further provide a clinical review of malignant metastatic heart disease.
Related Concept Videos
Heart Failure I: Introduction
Pathophysiology of Heart Failure
Heart Failure III: Clinical Manifestations
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
Heart Failure V: Medical Management
