Intramural myocardial hemorrhagic rupture in a patient with metastatic cancer and myocardial infarction

J Cardiovasc Med (Hagerstown). 2011 Apr;12(4):277-9. doi: 10.2459/JCM.0b013e32833cdd9b.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / instrumentation
  • Biopsy, Fine-Needle
  • Fatal Outcome
  • Heart Neoplasms / complications*
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / secondary
  • Heart Rupture, Post-Infarction / diagnosis
  • Heart Rupture, Post-Infarction / etiology*
  • Heart Rupture, Post-Infarction / therapy
  • Hemorrhage / diagnosis
  • Hemorrhage / etiology*
  • Hemorrhage / therapy
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / etiology*
  • Myocardial Infarction / therapy
  • Paraneoplastic Syndromes / diagnosis
  • Paraneoplastic Syndromes / etiology*
  • Paraneoplastic Syndromes / therapy
  • Positron-Emission Tomography
  • Stents
  • Treatment Outcome