Cardiac mass presenting as ST-elevation myocardial infarction: case report and review of the literature.
We discuss the case of a 71-year-old female patient who presented with findings suggestive of an acute myocardial infarction. Subsequent evaluation revealed an extrinsic cardiac mass encasing the left circumflex and right coronary arteries (RCA) which caused compression and spasticity of the RCA. Biopsy findings were consistent with a hematologic malignancy. Reports of extrinsic compression of epicardial coronary arteries are uncommon. Neoplasms, either primary cardiac tumors or metastatic disease, are a rare cause of extrinsic compression of coronary arteries.
Aggarwala
Guarav
G
Division of Cardiovascular Disease, University of Iowa Hospitals and Clinics, 200 Hawkins Dr E318-GH, Iowa City, IA 52242, USA. gaurav-aggarwala@uiowa.edu
Iyengar
Nikhil
N
Horwitz
Phillip
P
D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009203:Myocardial Infarction / Q000175:diagnosis*