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Case report
Peritricuspid annular prostate pellet
  1. Bryan O'Sullivan,
  2. Richard Tanner,
  3. Peter Kelly and
  4. Gerard Fahy
  1. Cardiology Department, Cork University Hospital Group, Cork, Ireland
  1. Correspondence to Dr Richard Tanner; richard.tanner{at}umail.ucc.ie

Abstract

A 75-year-old was treated for prostate adenocarcinoma with brachytherapy in September 2018. A routine follow-up chest radiograph 3 months later revealed a metallic object of the same dimensions as a brachytherapy pellet located in the right ventricle. Further imaging showed the brachtherapy pellet was located in the anterobasal right ventricular endocardium close to the tricuspid valve. Frequent asymptomatic premature ventricular contractions were observed with likely origin from the left ventricular outflow tract, an area remote from the site of the pellet. The patient remains asymptomatic and subsequent imaging shows that the position of the pellet has not changed.

  • cardiovascular medicine
  • urology
  • prostate cancer
  • radiotherapy

https://doi.org/10.1136/bcr-2020-238076

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    Footnotes

    • Contributors BO drafted the manuscript and approved the final version. RT sourced the images and formatted them for publication and approved the final draft. PK contributed to the text, provided expert opinion and critically reviewed the text and approved the final draft. GF was the senior author, supervised the report, critically appraised the text and approved the final draft.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.