Left ventricular intracavitary mass and pericarditis secondary to metastatic renal cell carcinoma--a case report.

Cardiac metastases from renal cell carcinoma are a well-recognized entity. However, this phenomenon is extremely rare in the absence of vena caval extension. The authors report a patient who after successful resection of renal cell carcinoma presented with left ventricular mass causing left ventricular outflow tract obstruction. There was also metastatic pericardial and intramyocardial involvement. Such a unique combination of cardiac metastasis, in the same patient, has not been reported previously.

Dynamic left ventricular outflow obstruction: a reversible mechanical complication of acute myocardial infarction.

Dynamic left ventricular outflow obstruction is a less well-known mechanical complication of acute myocardial infarction. Early diagnosis is important because initiation of proper management and avoidance of precipitating factors can lead to complete recovery. A patient is described who presented with acute myocardial infarction and in whom significant left ventricular outflow tract obstruction developed. Adequate therapy with beta blockers and calcium channel blockers led to complete resolution of the obstruction.

Sexual activity as a trigger for ventricular tachycardia in a patient with implantable cardioverter defibrillator.

Occurrence of life threatening arrhythmias and sudden death during or following sexual activity is infrequent. We describe a patient with an implantable cardioverter defibrillator who developed increased ventricular ectopic activity followed by sustained ventricular tachycardia during extramarital coitus. A review of literature and management is discussed.