title: Acute myocardial infarction caused by paradoxical tumorous embolism as a manifestation of hepatocarcinoma.
abstract: A 71 year old patient presented with a non-ST segment elevation acute myocardial infarction. The echocardiogram showed several masses attached to the interatrial septum. Several days after admission the patient died. A postmortem examination found a large hepatocarcinoma with intravascular and intracardiac metastases and several myocardial infarctions of different ages. The infarctions had been caused by coronary paradoxical embolisms through a patent foramen ovale and contained neoplastic cells from the liver carcinoma, which had not been diagnosed. The cause of death was a massive pulmonary embolism.
authors.affiliation: Cardiology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain. odiazcastro@hotmail.com
authors.forename: O
authors.initials: O
authors.lastname: Diaz Castro
authors.forename: H
authors.initials: H
authors.lastname: Bueno
authors.forename: L A
authors.initials: LA
authors.lastname: Nebreda
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000556:secondary*; D019320:Embolism, Paradoxical / Q000150:complications*; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000556:secondary*; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006801:Humans; D008113:Liver Neoplasms; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D009360:Neoplastic Cells, Circulating