Intramural myocardial hemorrhagic rupture in a patient with metastatic cancer and myocardial infarction.
A 77-year-old man with anterior ST-elevated myocardial infarction and lateral myocardial rupture underwent successful percutaneous revascularization. Cardiac magnetic resonance imaging (MRI) and positron emission tomography (PET) unveiled a disseminated metastatic cancer, likely responsible not only for a prothrombotic paraneoplastic syndrome but also for ventricular metastasis and myocardial rupture. The patient unfortunately died because of noncardiovascular complications of cancer.
Barison
Andrea
A
Scuola Superiore SantO'Anna, Italy bFondazione Gabriele Monasterio CNR - Regione Toscana, Pisa, Italy. barison@sssup.it
Aquaro
Giovanni D
GD
Todiere
Giancarlo
G
Nucifora
Gaetano
G
Corciu
Anca I
AI
Pasanisi
Emilio
E
Neglia
Danilo
D
Coceani
Michele
M
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D044963:Biopsy, Fine-Needle; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D049268:Positron-Emission Tomography; D015607:Stents; D016896:Treatment Outcome