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Genitourinary sarcomas are rare clinical entitities. Current information on these tumours is sparse and anecdotal. Cardiac metastasis from genitourinary tumours in general is an exceedingly rare phenomenon and has previously been reported only in relation to carcinomas. We report the first case of sarcoma of the bladder with metastasis to the heart causing sudden death.

Sarcoma of the bladder with metastasis to the left ventricle