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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: [email protected]
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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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References

1. Chan, HS, Sonley, MJ, Moes, CA, Daneman, A, Smith, CR, Martin, DJ. Primary and secondary tumours of childhood involving the heart, pericardium, and great vessels. A report of 75 cases and review of the literature. Cancer 1985; 56: 825–836.Google Scholar
2. Krishna, L, Ng, WL, Chachlani, N. Inflammatory pseudotumor of the heart causing aortic regurgitation. Ann Thorac Surg 2001; 71: 1361–1363.CrossRefGoogle ScholarPubMed
3. Kelly, SJ, Lambie, NK, Singh, HP. Inflammatory myofibroblastic tumor of the left ventricle in an older adult. Ann Thorac Surg 2003; 75: 1971–1973.Google Scholar
4. Coffin, CM, Watterson, J, Priest, JR, Dehner, LP. Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor). A clinicopathologic and immunohistochemical study of 84 cases. Am J Surg Pathol 1995; 19: 859–872.Google Scholar
5. Burke, A, Li, L, Kling, E, Kutys, R, Virmani, R, Miettinen, M. Cardiac inflammatory myofibroblastic tumor: a “benign” neoplasm that may result in syncope, myocardial infarction, and sudden death. Am J Surg Pathol 2007; 31: 1115–1122.CrossRefGoogle ScholarPubMed