Multimodality Imaging-Guided Aspiration of a Right Ventricular Mass - Cardiac Metastasis Unmasked: A Case Report.

This case describes the safe and effective percutaneous removal of a large right ventricular mass using the AngioVac system (AngioDynamics) guided by multimodality imaging. Intracardiac echocardiography was used throughout the procedure for real-time navigation and mass engagement in conjunction with fluoroscopy. Cardiac magnetic resonance imaging and positron emission tomography-computed tomography were performed after surgery to further characterize the mass and confirm metastatic involvement. Histopathology revealed metastatic squamous cell carcinoma, underscoring the diagnostic and therapeutic value of comprehensive imaging integration.