Cardiac Metastasis: An Often Forgotten Cause of Congestive Heart Failure

A 35-year-old man, previously healthy, presented to a community hospital with a 1-month history of malaise, significant weight loss, and epigastric pain. Prior to his presentation, he had several episodes of non-bloody emesis, melena and mild exertional dyspnea. There was no significant family history of malignancy. His examination at the time of presentation was unremarkable.