ABSTRACT
This report describes a case of a 62 year-old man admitted for recurrent myocardial infarction and normal coronary arteries, caused by coronary embolism from aortic papillary fibroelastoma. Other conditions causing acute coronary syndrome and normal coronary arteries are discussed. A careful evaluation by transthoracic and transesophageal echocardiography is required in this clinical setting. Surgical excision of the tumor is safe and curative.
Subject(s)
Coronary Thrombosis/complications , Fibroma/complications , Heart Neoplasms/complications , Myocardial Infarction/etiology , Aortic Valve/diagnostic imaging , Coronary Vessels/diagnostic imaging , Humans , Male , Middle Aged , Recurrence , UltrasonographyABSTRACT
Este relatório descreve o caso de um homem de 62 anos, admitido por infarto do miocárdio recorrente e artérias coronárias normais, causado por embolia coronária a partir de fibroelastoma papilar aórtico. Outros quadros que causam a síndrome coronariana aguda são discutidos, assim como as artérias coronárias normais. Nesse quadro clínico, faz-se necessária a avaliação cuidadosa, por meio de ecocardiograma transtorácico e transesofágico. A excisão cirúrgica do tumor é segura e curativa.
This report describes a case of a 62 year-old man admitted for recurrent myocardial infarction and normal coronary arteries, caused by coronary embolism from aortic papillary fibroelastoma. Other conditions causing acute coronary syndrome and normal coronary arteries are discussed. A careful evaluation by transthoracic and transesophageal echocardiography is required in this clinical setting. Surgical excision of the tumor is safe and curative.
Este informe describe el caso de un hombre de 62 años, admitido por infarto de miocardio recurrente y arterias coronarias normales, causado por embolia coronaria a partir de fibroelastoma papilar aórtico. Otros cuadros que causan el síndrome coronario agudo son discutidos, así como las arterias coronarias normales. En ese cuadro clínico, se hace necesaria la evaluación cuidadosa, por medio de ecocardiograma transtorácico y transesofágico. La escisión quirúrgica del tumor es segura y curativa.