Disseminated disease including intra-cardiac metastasis from intermediate trophoblastic tumor of unspecified subtype, presenting in pregnancy

• Cardiac metastasis is a rare manifestation of trophoblastic malignancy; • Previous cases have exclusively been reported in choriocarcinoma histology; • Our case describes cardiac metastasis, as part of disseminated disease, from an intermediate trophoblastic tumor. • Our patient initially responded systemically to chemotherapy for a brief duration; • However, she died from CNS failure 4½ months after diagnosis;