The heart’s involvement by melanoma is not common on presentation, and it goes even unrevealed in some patients. Glancy et al. reviewed autopsies in 70 patients with melanoma and demonstrated that cardiac metastases occurred in up to 65% ^[1]. In general, cardiac metastasis is unusual and has been described in <10% of melanoma cases ^[2]. The reason that cardiac metastasis is not common is that most patients lack cardiac symptoms. Very few patients like our patient present with cardiac symptoms that reveal the diagnosis of metastatic melanoma.