Recurrence of esophageal cancer presents as transient ischemic attack

A 43-year-old man presented with recurrent transient syncope was admitted under impression of transient ischemia attack. Six months earlier, he had been diagnosed with esophageal cancer. He underwent esophagogastrectomy and recovered uneventfully. Echocardiogram showed an ill-defined infiltrative mass over the lateral wall of the left ventricle and multiple intraventricular mural thrombi. Subsequent computed tomography scan of the chest demonstrated hypo-dense myocardium infiltration with local thickening. The appearance of the myocardium was highly characteristic of transmural cardiac metastasis. The patient received palliative therapy and died 1 month after this admission.