Histopathology of the cardiac conduction system in a case of metastatic pancreatic ductal adenocarcinoma

Metastatic tumor involving the heart occasionally complicates the course of patients with neoplasia. A 70-year-old white male died suddenly. Post-mortem histological examination showed the presence of cardiac metastatic pancreatic ductal adenocarcinoma compressing the cardiac conduction system, which had led to motility, hemodynamic and conductive abnormalities deteriorating into sudden death.