[Mediastinal tumor revealed by myocardial infarction].
We report the case of a patient with a past history of coronary atherosclerosis treated with primary angioplasty 5 hours following an inferior myocardial infarction. Echocardiography performed during the procedure revealed a mediastinal tumour invading the tricuspid, responsible for the occlusion of the right coronary. Infarction due to tumour compression is a rare presentation of mediastinal tumour. Diagnosis relies on echocardiographic, CT or magnetic resonance imaging. The prognosis is linked to the tumour pathology.
Borentain
M
M
Département de cardiologie médicale, groupe hospitalier La Pitié-La Salpêtrière, 75651 Paris.
Raoux
F
F
Le Feuvre
C
C
Beygui
F
F
Helft
G
G
Metzger
J P
JP
D003324:Coronary Artery Disease / Q000150:complications; D003937:Diagnosis, Differential; D004452:Echocardiography; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D011379:Prognosis; D014261:Tricuspid Valve / Q000000981:diagnostic imaging* / Q000473:pathology