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Acute myocardial infarction caused by embolisation of an intra-cardiac tumour

Published online by Cambridge University Press:  22 June 2015

Ashraf Mostafa ,
Alexandros Briasoulis  and
Theodore Schreiber
Ashraf Mostafa
Affiliation:
Detroit Medical Center, Division of Cardiology, Wayne State University, Detroit, Illinois, United States of America
Alexandros Briasoulis*
Affiliation:
Detroit Medical Center, Division of Cardiology, Wayne State University, Detroit, Illinois, United States of America
Theodore Schreiber
Affiliation:
Detroit Medical Center, Division of Cardiology, Wayne State University, Detroit, Illinois, United States of America
*
Correspondence to: A. Briasoulis, MD, Department of Cardiology, Detroit Medical Center, Wayne State University, Detroit, IL 48226, United States of America. Tel: 313-745-2620; Fax: 313-745-2600; E-mail: alexbriasoulis@gmail.com
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Abstract

This report describes a rare case of left main coronary artery occlusion caused by embolisation of an intra-cardiac tumour in an 11-year-old patient. The patient presented with severe chest pain with ST-segment depression in the inferolateral leads with evidence of decreased left ventricular function, anterior-apical hypokinesis, and a pedunculated mass attached to the mitral valve. An urgent cardiac catheterisation was performed, which revealed near-complete obstruction of the left anterior descending coronary artery. Transcatheter aspiration of the embolic material was successfully performed. The final pathological examination revealed an inflammatory myofibroblastic tumour, which is a rare benign tumour, characterised by the proliferation of myofibroblasts and inflammatory cell infiltration.

Keywords

Acute myocardial infarctionleft main coronary arterymyofibroblastic tumour
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 2 , February 2016 , pp. 386 - 389
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Copyright
© Cambridge University Press 2015 

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