Diaz Castro O, Bueno H, Nebreda L A
Cardiology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Heart. 2004 May;90(5):e29. doi: 10.1136/hrt.2004.033480.
A 71 year old patient presented with a non-ST segment elevation acute myocardial infarction. The echocardiogram showed several masses attached to the interatrial septum. Several days after admission the patient died. A postmortem examination found a large hepatocarcinoma with intravascular and intracardiac metastases and several myocardial infarctions of different ages. The infarctions had been caused by coronary paradoxical embolisms through a patent foramen ovale and contained neoplastic cells from the liver carcinoma, which had not been diagnosed. The cause of death was a massive pulmonary embolism.
一名71岁患者表现为非ST段抬高型急性心肌梗死。超声心动图显示多个肿块附着于房间隔。入院几天后患者死亡。尸检发现一个巨大肝癌伴有血管内和心脏内转移，以及不同时期的多处心肌梗死。这些梗死是由通过卵圆孔未闭的冠状动脉矛盾栓塞引起的，梗死灶中含有未被诊断出的肝癌肿瘤细胞。死因是大面积肺栓塞。
