Disseminated disease including intra-cardiac metastasis from intermediate trophoblastic tumor of unspecified subtype, presenting in pregnancy

• Cardiac metastasis is a rare manifestation of trophoblastic malignancy
• Previous cases have exclusively been reported in choriocarcinoma histology
• Our case describes cardiac metastasis, as part of disseminated disease, from an intermediate trophoblastic tumor.
• Our patient initially responded systemically to chemotherapy for a brief duration
• However, she died from CNS failure 4½ months after diagnosis