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Acute coronary syndrome caused by a myxoma embolization


Authors: A. Krüger;  P. Ošťádal;  D. Vondráková
Authors‘ workplace: Nemocnice Na Homolce, Kardiocentrum
Published in: Prakt. Lék. 2011; 91(4): 222-223
Category: Case Report

Overview

Acute coronary syndrome caused by embolization of the afferent coronary artery is fairly common. In many cases it is advisable to exclude intracardial thrombus or search for shunt blood circulation between right and left ventricle.

Here we present the case report of a patient after non-transmural acute myocardial infarction, which had been caused by an embolization. The infarction was treated with direct percutaneous coronary angioplasty. Later we diagnosed a left atrium myxoma.

Key words:
myxoma, embolization, acute coronary syndrome.


Sources

1. Braunwald, E., Zipes, D.P., Libby, P. et al. Heart disease. 6th ed. Primary tumors of the heart, 2001, p. 1745-1750.

2. Edwards, A., Bermudez, C., Piwonka, G. et al. Carney’s syndrome: complex myxomas. Report of four cases and review of the literature. Cardiovasc. Surg. 2002, 10(3), p. 264-275.

3. Tomšová, M., Šteiner, I., Dominik, J. Srdeční myxomy. Acta Medica 2000, 43(Suppl), s. 29-32.

4. Braun, S., Schrötter, H., Reynen, K. et al. Myocardial infarction as a complication of left atrial myxoma. Inter. J. Cardiol. 2005, 101, p. 115-121.

5. Tun, A., Khan, I.A. Myocardial infarction with normal coronary arteries : the pathologic and clinical perspectives. Angiology 2001, 52, p. 299-304.

6. Pinede, L., Duhaut, P., Loire, R. Clinical presentation of left atrial cardiac myxoma. Medicine 2001, 80, p. 159-172.

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