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arrhythmias, polymorphic ventricular tachycardia, cardiac metastasis, malignant melanoma, pathology, therapy


A 66-year-old man with locally advanced malignant melanoma, which was surgically resected, presented with a 3-week history of dizziness, recurrent near-syncopal episodes and generalized weakness. He was found to have sustained polymorphic ventricular tachycardia in the setting of cardiac melanoma. We draw attention to an unusual presentation of malignant melanoma with cardiac metastasis and discuss both its etiology and treatment options.

Online Video 1.avi (4803 kB)
Cardiac magnetic resonance imaging of our case patient displays the cardiac cycle in an axial view, and clearly depicts the mass attached to the left apex.