Key Clinical Message
In treatment-resistant right ventricular tumours, it is essential to consider the natural progression and potential circulatory complications of the malignancy. Physicians should inform patients regarding these possibilities and prepare for appropriate, end-of-life, palliative care.
Abstract: This video describes the presentation and deteriorating clinical course of a 74-year-old woman with a dry cough who was diagnosed with a metastatic right ventricular-pulmonary artery tumour with disseminated intravascular coagulation. She died within a few days of palliative care at home after multidisciplinary treatment. Clinicians should consider the possibility of a rapidly worsening metastatic right ventricular-pulmonary artery tumour.