Acute myocardial infarction: a rare presentation of pancreatic carcinoma.
Secondary neoplastic involvement of the heart is common but usually asymptomatic. Malignancy rarely presents as acute pericarditis, cardiac tamponade, and myocardial infarction in the same patient. We report a patient with unsuspected metastatic pancreatic adenocarcinoma who presented with acute pericarditis and cardiac tamponade and subsequently developed a myocardial infarction due to coronary artery occlusion secondary to a metastatic deposit around the left anterior descending artery.
Cook
M A
MA
Department of Radiology, St. Luke's-Roosevelt Hospital Center and Columbia University College of Physicians & Surgeons, New York, New York, USA.
Sanchez
E J
EJ
Lopez
J J
JJ
Bloomfield
D A
DA
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D010190:Pancreatic Neoplasms / Q000473:pathology*; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis; D010493:Pericarditis / Q000150:complications / Q000175:diagnosis