ABSTRACT
The article presents a case study of a 37-year-old male who was admitted to the Acute Cardiology Unit of our hospital with suspicion of acute coronary syndrome. By invasive imaging examination, acute coronary syndrome was ruled out, but as a secondary finding a foreign body was found in the pericardium - a broken needle that had travelled to the heart after intravenous heroin administration into the right femoral vein, which was also confirmed on a computed tomography scan. Because of a developing pericardial tamponade, surgical intervention and the extraction of the foreign body was indicated.
Subject(s)
Acute Coronary Syndrome/diagnosis , Cardiac Tamponade/etiology , Foreign-Body Migration , Substance Abuse, Intravenous/complications , Adult , Cardiac Tamponade/diagnosis , Cardiac Tamponade/surgery , Diagnosis, Differential , Echocardiography , Electrocardiography , Foreign-Body Migration/complications , Foreign-Body Migration/diagnosis , Foreign-Body Migration/surgery , Humans , Male , Needles , Pericardiocentesis/methods , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Cardiac myxomas make up approximately 50% of all benign cardiac tumors and represented 86% of all surgically treated cardiac tumors. Most of them originated from the left atrium, in some cases from both of atria. We report a case of male patient with biatrial myxomas and other extra-cardiac involvement: hypophyseal adenoma, enlargement of thyroid gland, tubular adenoma polyp of colon and bilateral large cell calcifying Sertoli cell tumor (LCCSCT) of testis. These findings led to the diagnosis of Carney's complex, which is a syndrome with multiple neoplasias, cardiac myxomas, lentigines, and endocrine abnormalities. A genetic test confirm this diagnosis.
