Occult metastatic melanoma presenting as an acute coronary syndrome
Rev. bras. cir. cardiovasc
;
32(3): 225-227, May-June 2017. tab, graf
Article
in English
| LILACS
| ID: biblio-897916
ABSTRACT
Abstract Melanoma is a tumor that virtually involves any tissue and commonly metastasizes to the heart. It is usually not diagnosed because of the absent/nonspecific cardiac signs and symptoms. Herein, we present a case of a 41-year-old man without any cardiovascular risk factor, admitted to the emergency room with chest pain, diagnosed with a myocardial infarction. Due to the presence of a mass adjacent to the mitral valve on the cardiac ultrasound examination, causing mitral regurgitation, the patient was referred to surgery. Pathological analysis of the excised specimens diagnosed the melanoma. The chemotherapy was started and achieved a partial response. Cardiac metastases usually affect the myocardium, leaving the valves unaffected. In this case, the acute coronary syndrome was the first manifestation of the malignant melanoma. We highlight the high level of suspicion needed in these cases.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Acute Coronary Syndrome
/
Heart Neoplasms
/
Melanoma
Type of study:
Diagnostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2017
Type:
Article
Affiliation country:
Portugal
Institution/Affiliation country:
Hospital de Santa Maria/PT
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