class="kwd-title">Keywords: Pericardial metastasis, Uterine leiomyosarcoma, Transesophageal echocardiography, Multidetector cardiac computed tomography, Cardiac magnetic resonance imaging class="head no_bottom_margin" id="sec1title">IntroductionUterine leiomyosarcomas (ULMS) are rare tumors, with an incidence of 0.64 cases per 100,000 women. The common sites of metastases are lung, peritoneum, and bone. Cardiac metastases are very rare. The reported sites of cardiac metastases mainly involve the right heart and associated structures. This is the first case report of a large pericardial metastatic leiomyosarcoma, with no associated lung metastasis. We illustrate how multimodality cardiovascular imaging was used for diagnosis and surgical planning.
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