RESUMO
A healthy 32-year-old Asian man presented in emergency with a history of severe chest pain. ECG showed normal sinus rhythm with ST elevations in the anterior chest leads. He was diagnosed with anterior wall ST segment elevation myocardial infarction and was thrombolysed with tenecteplase. The cardiac enzymes and troponin level were significantly high and echocardiography demonstrated akinetic anterior segment of left ventricle. Coronary angiography exhibited anomalous left anterior descending artery originating from right sinus of Valsalva without atherosclerotic lesion.
Assuntos
Anomalias dos Vasos Coronários/complicações , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/etiologia , Adulto , Diagnóstico Diferencial , Eletrocardiografia , Fibrinolíticos/uso terapêutico , Humanos , Masculino , Infarto do Miocárdio/tratamento farmacológico , Inibidores da Agregação Plaquetária/uso terapêutico , Terapia Trombolítica , Resultado do TratamentoRESUMO
A 47-year-old man presented with a history of syncope that lasted for 3 min and was not accompanied by jerky movement of limbs or incontinence. After regaining consciousness, he felt generalised weakness. There was no history of chest pain or palpitation. ECG showed normal sinus rhythm. All blood investigations were normal. Transthoracic echocardiography showed a large multilobulated echo dense mass in the left atrium. The mass was prolapsing through the mitral valve during diastole. Transoesophageal echocardiography verified these findings and also showed the stalk of the mass attached to the interatrial septum near the fossa ovalis. The mass was highly suggestive of myxoma. The patient underwent surgical resection of the mass and histopathology confirmed the diagnosis of left atrial myxoma.
