Acute myocardial infarction caused by paradoxical tumorous embolism as a manifestation of hepatocarcinoma.
case_report · Level V
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- Record sourced from PubMed, PMID 15084577.
- Also identified by PMC identifier 1768223.
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Abstract
A 71 year old patient presented with a non-ST segment elevation acute myocardial infarction. The echocardiogram showed several masses attached to the interatrial septum. Several days after admission the patient died. A postmortem examination found a large hepatocarcinoma with intravascular and intracardiac metastases and several myocardial infarctions of different ages. The infarctions had been caused by coronary paradoxical embolisms through a patent foramen ovale and contained neoplastic cells from the liver carcinoma, which had not been diagnosed. The cause of death was a massive pulmonary embolism.
Medical subject headings
- Carcinoma, Hepatocellular
- Embolism, Paradoxical
- Heart Neoplasms
- Heart Septal Defects, Atrial
- Liver Neoplasms
- Myocardial Infarction