Although most malignant tumours metastasize to the heart they rarely produce clinical symptoms. Cardiac metastasis of tumours arising from head and neck and particulary of the larynx are extremely rare. Herein we report an unusual case of successfully treated, advanced laryngeal carcinoma with subsequent late symptomatic metastatic disease to the heart. The patient discussed, developed a right ventricular intracavitary tumour with pseudo-infarct pattern on the ECG. Current litterature regarding incidence, diagnostic techniques, treatment modalities and survival rates of secondary heart tumours are reviewed.