• Internal medicine · Feb 2022

    Case Reports

    Acute Myocardial Infarction Due to Coronary Occlusion Caused by a Metastatic Cardiac Tumor Arising from Squamous Cell Lung Cancer: An Evaluation with Three-dimensional Transthoracic Echocardiography.

    • Miho Kuramoto, Masako Okada, Hajime Saeki, Yasuyuki Yoshida, and Shinji Hasegawa.
    • Department of Cardiology, Japan Community Healthcare Organization Osaka Hospital, Japan.
    • Intern. Med. 2022 Feb 1; 61 (3): 345-350.

    AbstractA 60-year-old man developed acute myocardial infarction from the total occlusion of the right coronary artery via metastatic squamous lung cancer and was treated with percutaneous coronary intervention (PCI). Computed tomography and transthoracic echocardiography (TTE) revealed a metastatic tumor, and three-dimensional TTE was useful for determining the size and location of the tumor in relation to the coronary artery. Six months after PCI, the patient died, and an autopsy confirmed extensive metastasis to the heart and nearby vessels as detected by three-dimensional TTE. Although rare, lung cancer metastasis to the heart may directly occlude the coronary artery.

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