title: Carcinoma embolization in coronary artery causing myocardial infarction: diagnosis from coronary thromboaspirate.
abstract: A unique case of myocardial infarction due to coronary artery tumor embolism from colonic adenocarcinoma is described. A 79-year-old man with a history of rectal carcinoma with lung metastases 15 years and 9 years before, respectively, was subjected to primary percutaneous coronary intervention for myocardial infarction with aspiration of a thrombus from the occluded artery. The retrieved material contained fragments of adenocarcinoma tissue. To the best of our knowledge, this is the first reported case of adenocarcinoma coronary embolism diagnosed during life from coronary artery aspirate.
authors.affiliation: The Fingerland Department of Pathology, Charles University Faculty of Medicine and Faculty Hospital in Hradec Králové, Czech Republic. Electronic address: steiner@lfhk.cuni.cz.
authors.forename: Ivo
authors.initials: I
authors.lastname: Steiner
authors.affiliation: Department of Cardiovascular Medicine, Charles University Faculty of Medicine and Faculty Hospital in Hradec Králové, Czech Republic.
authors.forename: Jan
authors.initials: J
authors.lastname: Vojáček
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D054059:Coronary Occlusion / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D062645:Percutaneous Coronary Intervention; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D013396:Suction; D016896:Treatment Outcome
keywords: Carcinoma embolism; Coronary embolism