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Occult metastatic melanoma presenting as an acute coronary syndrome
Velho, Tiago R; Junqueira, Nádia; Sena, André; Ferreira, Hugo; Carvalheiro, Catarina; Guerra, Nuno; Gallego, Javier; Nobre, Ângelo.
  • Velho, Tiago R; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Junqueira, Nádia; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Sena, André; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Ferreira, Hugo; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Carvalheiro, Catarina; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Guerra, Nuno; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Gallego, Javier; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
  • Nobre, Ângelo; Hospital de Santa Maria. Cardiothoracic Surgery Department. Lisboa. PT
Rev. bras. cir. cardiovasc ; 32(3): 225-227, May-June 2017. tab, graf
Artículo en Inglés | 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.
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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Síndrome Coronario Agudo / Neoplasias Cardíacas / Melanoma Tipo de estudio: Estudio diagnóstico / Factores de riesgo Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: Rev. bras. cir. cardiovasc Asunto de la revista: Cardiología / Cirugía General Año: 2017 Tipo del documento: Artículo País de afiliación: Portugal Institución/País de afiliación: Hospital de Santa Maria/PT

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Síndrome Coronario Agudo / Neoplasias Cardíacas / Melanoma Tipo de estudio: Estudio diagnóstico / Factores de riesgo Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: Rev. bras. cir. cardiovasc Asunto de la revista: Cardiología / Cirugía General Año: 2017 Tipo del documento: Artículo País de afiliación: Portugal Institución/País de afiliación: Hospital de Santa Maria/PT