{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:02:23Z","timestamp":1756339343460,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,6,30]]},"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>Most cardiac tumours are secondary to metastasis from extracardiac tumours. Obtaining biopsy from intracardiac lesions, especially from the left heart, is challenging, and the conventionally used methods are invasive and involve significant risks such as arrhythmias, tamponade, valvular damage and tumour embolisation. Endobronchial ultrasound (EBUS) is a minimally invasive procedure used to biopsy lymph nodes or mass lesions adjacent to the airways. Its safety and usefulness have been well established. Use of EBUS has expanded to several novel indications over the last few years. Here we report a case of a young woman with suspected metastatic disease to the heart, in whom traditional methods of biopsy had failed to give a diagnosis. EBUS-guided transbronchial intracardiac needle aspiration was safely performed from the left atrial mass lesion to obtain tissue for histopathological diagnosis. A diagnosis of metastatic adenocarcinoma with tumour embolisation to the heart was established.<\/jats:p>","DOI":"10.1136\/bcr-2022-249279","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T11:45:18Z","timestamp":1657539918000},"page":"e249279","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Endobronchial ultrasound guided intracardiac needle aspiration (EBUS-ICNA)"],"prefix":"10.1136","volume":"15","author":[{"given":"Venkata Nagarjuna","family":"Maturu","sequence":"first","affiliation":[{"name":"Pulmonary Medicine, Yashoda Super Specialty Hospitals Somajiguda Hyderabad, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virender Pratibh","family":"Prasad","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, Yashoda Super Specialty Hospitals Somajiguda Hyderabad, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetan Rao","family":"Vaddepally","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, Yashoda Super Specialty Hospitals Somajiguda Hyderabad, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shweta","family":"Sethi","sequence":"additional","affiliation":[{"name":"Department of Pathology, Yashoda Super Specialty Hospitals Somajiguda Hyderabad, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,7,11]]},"reference":[{"key":"2025082623210513000_15.7.e249279.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-1355"},{"key":"2025082623210513000_15.7.e249279.2","doi-asserted-by":"crossref","first-page":"1958","DOI":"10.1111\/crj.12764","article-title":"Defining expanded areas in EBUS sampling: EBUS guided trans- and intra-pulmonary artery needle aspiration, with review of transvascular EBUS","volume":"12","author":"Mehta","year":"2018","journal-title":"Clin Respir J"},{"key":"2025082623210513000_15.7.e249279.3","doi-asserted-by":"crossref","first-page":"e595","DOI":"10.1016\/j.cllc.2020.10.020","article-title":"Feasibility of performing transvascular endobronchial ultrasound-guided transbronchial needle aspiration","volume":"22","author":"Naaman","year":"2021","journal-title":"Clin Lung Cancer"},{"key":"2025082623210513000_15.7.e249279.4","doi-asserted-by":"publisher","DOI":"10.1159\/000183197"},{"key":"2025082623210513000_15.7.e249279.5","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.3892\/ol.2013.1208","article-title":"Metastasis to the colon from lung cancer presenting with severe hyponatremia and dyspnea in a young male: a case report and review of the literature","volume":"5","author":"Pezzuto","year":"2013","journal-title":"Oncol Lett"},{"key":"2025082623210513000_15.7.e249279.6","doi-asserted-by":"crossref","first-page":"604","DOI":"10.3892\/ol.2014.2717","article-title":"Lung cancer and concurrent or sequential lymphoma: two case reports with hypersensitivity to bevacizumab and a review of the literature","volume":"9","author":"Pezzuto","year":"2015","journal-title":"Oncol Lett"},{"key":"2025082623210513000_15.7.e249279.7","doi-asserted-by":"crossref","first-page":"386","DOI":"10.5603\/ARM.a2021.0074","article-title":"\"To do or not to do - that is the question\". 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