Recurrent myocardial infarction in a patient with papillary fibroelastoma.
This report describes a case of a 62 year-old man admitted for recurrent myocardial infarction and normal coronary arteries, caused by coronary embolism from aortic papillary fibroelastoma. Other conditions causing acute coronary syndrome and normal coronary arteries are discussed. A careful evaluation by transthoracic and transesophageal echocardiography is required in this clinical setting. Surgical excision of the tumor is safe and curative.
Hospital de Santa Cruz, CHLO, Lisboa, Portugal. jdbrito@netcabo.pt
João Daniel
JD
Brito
Manuel Sousa
MS
Almeida
Regina
R
Ribeiras
João Queiroz e
JQ
Melo
Rosa Henriques
RH
Almeida
José Aniceto
JA
Silva
D001021:Aortic Valve / Q000000981:diagnostic imaging; D003328:Coronary Thrombosis / Q000150:complications*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D005350:Fibroma / Q000150:complications*; D006338:Heart Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D012008:Recurrence; D014463:Ultrasonography