Cardiac metastasis: a cause of recurrent pulmonary emboli

Intracavitary cardiac metastasis is rare. Apart from causing intracardiac obstruction, this type of metastasis can present as pulmonary emboli. It is important to suspect this diagnosis in an oncology patient with recurrent pulmonary emboli, particularly in the setting of a negative venous Doppler ultrasound of the lower limbs and pelvis. Early recognition may help in improving the prognosis. We present a case of intracavitary cardiac metastasis arising from a squamous carcinoma of the cervix, in a patient with recurrent pulmonary tumour emboli.