An extremely rare case of carcinoma rectum metastasizing to the heart

The incidence of cardiac metastases has increased over the last 3 decades. The commonest source of cardiac metastasis however remain the lungs and breast. Pericardium is the most commonly involved part of heart in metastatic disease. We report an extremely rare case of carcinoma rectum with metastasis to right ventricle and inferior vena cava through hematogenous route.