Extensive metastasectomy for a single lesion with cardiac invasion.

Cardiac metastases are rare and considered a sign of end-stage oncologic disease. A lack of telltale clinical symptoms leads to late detection, thus usually limiting surgical options. Modern diagnostic tools such as fluorodeoxyglucose positron emission tomography, single-photon emission computed tomography, or cardiac magnetic resonance imaging could allow for timely detection and open up new therapeutic options. Highly selected oligometastatic patients may benefit from extensive surgical procedures including transmyocardial resection.