Cardiac sarcoma metastatic to the brain.

Cardiac sarcomas are rare primary cardiac tumors. Because of the few reported cases and relatively poor prognosis of primary cardiac sarcomas, the metastatic potential and behavior of these tumors is not fully understood. In one reported case of cardiac sarcoma metastasizing to the brain (1), the primary tumor could not be resected because of the patient’s poor medical condition and the concurrent presence of extensive metastatic disease. Our case is that of a patient with a high-grade sarcoma of the heart without evidence of metastatic disease; 6 months after cardiac transplantation she presented with a solitary brain metastasis.