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