Dear Editor, Metastatic cardiac tumors are rare clinical situations; however, its incidence increases due to the increment in survival of cancer patients and improvement in imaging techniques.[1] The incidence of cardiac metastasis data was mostly obtained from autopsy series. The incidence rates vary from 1.5 to 25%.[2,3] All cancers have the potential for cardiac metastasis. Tumors with the highest tendency to metastasize to the heart are melanomas, mesotheliomas, and mediastinal malignancies.[4,5] Although the pericardium is the most frequently involved site, the development of metastasis could be observed in other structures of the heart.[4,6] There are 4 different ways defined for the development of cardiac metastasis: Hematological, lymphatic, transvenous, and direct invasion.[7,8] Cardiac metastasis development pathway may also be determinative in the gotten hold of cardiac structure. Lung cancers have a high tendency to metastasis and are among the primary cancers that metastasize to the heart. Cardiac metastases are not considered in the differential diagnosis since their different presentations. In the selection of treatment, the presence of symptoms, the control status of the primary tumor and the involved cardiac region are determinant and there is no standard treatment.