{
  "abstract": "Background:: Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy with a strong tendency for early metastatic dissemination. Cardiac metastases are exceptionally uncommon and usually occur through tumor extension via the inferior vena cava into the right atrium, rather than as isolated left-sided involvement. Intracardiac metastases may mimic primary cardiac tumors such as atrial myxomas, creating diagnostic challenges and increasing the risk of systemic embolization.\n\nCase presentation:: A patient with a history of ACC presented with transient neurological deficits consistent with cardioembolic stroke. Brain magnetic resonance imaging demonstrated multiple acute embolic infarcts. Transthoracic and transesophageal echocardiography revealed two distinct left atrial masses, one attached to the interatrial septum and another highly mobile lesion extending toward the left superior pulmonary vein.\n\nManagement and outcome:: Urgent surgical intervention was performed due to the high embolic risk. Both lesions were completely excised, and histopathological examination confirmed metastatic ACC.\n\nConclusion:: Cardiac metastases should be considered in patients with ACC who present with embolic events and left atrial masses.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiovascular Surgery, Yalova Training and Research Hospital, Yalova, Türkiye",
    "Department of Cardiovascular Surgery, Bursa City Hospital, Bursa, Türkiye",
    "Department of Cardiology, Yalova Training and Research Hospital, Yalova, Türkiye",
    "Department of Pathology, Bursa City Hospital, Bursa, Türkiye"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Fulya Topuz",
      "orcid": "0000-0002-0107-0145"
    },
    {
      "affs": [
        1
      ],
      "name": "Derih Ay"
    },
    {
      "affs": [
        0
      ],
      "name": "Haluk Mevre Özgöz"
    },
    {
      "affs": [
        2
      ],
      "name": "Cemalettin Yılmaz"
    },
    {
      "affs": [
        2
      ],
      "name": "Enes Arslan"
    },
    {
      "affs": [
        3
      ],
      "name": "Ezgi Işıl Turhan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9n9bxcsjtkqtw.bib",
  "cited_by": 0,
  "doi": "10.1097/rc9.0000000000001140",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13747581/",
  "id": "9n9bxcsjtkqtw",
  "issns": [
    "2210-2612"
  ],
  "landing_url": "https://doi.org/10.1097/rc9.0000000000001140",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2705|Cardiac tumors and thrombi"
    ]
  ],
  "openalex": "W7225759411",
  "pdf_url": "https://europepmc.org/articles/PMC13747581?pdf=render",
  "pmcid": "PMC13747581",
  "pmid": "43005837",
  "published": "2026-10-09",
  "publisher": "Wolters Kluwer Health",
  "ris": "https://research.draconitic.com/paper/9n9bxcsjtkqtw.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T12:23:37Z",
      "native_id": "PMC13747581",
      "source": "pmc",
      "url": "https://doi.org/10.1097/rc9.0000000000001140"
    },
    {
      "first_seen": "2026-11-12T15:22:43Z",
      "native_id": "MED:43005837",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43005837"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac tumors and thrombi",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Coexisting left atrial myxoma-like mass and pulmonary vein metastatic component of adrenocortical carcinoma presenting with cardioembolic stroke: a case report",
  "title_text": "Coexisting left atrial myxoma-like mass and pulmonary vein metastatic component of adrenocortical carcinoma presenting with cardioembolic stroke: a case report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-13T12:24:36Z",
  "url": "https://research.draconitic.com/paper/9n9bxcsjtkqtw",
  "venue": "International Journal of Surgery Case Reports",
  "versions": []
}