Acute myocardial infarction caused by embolisation of an intra-cardiac tumour. (22nd June 2015)

• Record Type: Journal Article
• Authors: Mostafa, Ashraf; Briasoulis, Alexandros; Schreiber, Theodore
• Is Part Of: Cardiology in the young. Volume 26:Number 2(2016)
• Page Start: 386
• Page End: 389
• Publication Date: 2015-06-22
• Subjects: Acute myocardial infarction, -- left main coronary artery, -- myofibroblastic tumour; Pediatric cardiology -- Periodicals; 618.9212
• DOI: 10.1017/S1047951115001146
• Languages: English
• ISSNs: 1047-9511

Abstract

Abstract: This report describes a rare case of left main coronary artery occlusion caused by embolisation of an intra-cardiac tumour in an 11-year-old patient. The patient presented with severe chest pain with ST-segment depression in the inferolateral leads with evidence of decreased left ventricular function, anterior-apical hypokinesis, and a pedunculated mass attached to the mitral valve. An urgent cardiac catheterisation was performed, which revealed near-complete obstruction of the left anterior descending coronary artery. Transcatheter aspiration of the embolic material was successfully performed. The final pathological examination revealed an inflammatory myofibroblastic tumour, which is a rare benign tumour, characterised by the proliferation of myofibroblasts and inflammatory cell infiltration.